1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Anesthesiologist Assistant
  6. NPI Profile

MR. NICK BALARAMA RODRIGUEZ AA
NPI 1043997190
Anesthesiologist Assistant in Saint Louis, MO

Active since June 30, 2023Accepts Medicare Assignment
615 S NEW BALLAS RD DEPT OF, SAINT LOUIS, MO 63141(636) 386-9224(636) 386-7679 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Nick Balarama Rodriguez Aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NICK BALARAMA RODRIGUEZ AA (NPI 1043997190) is an individual anesthesiologist assistant in Saint Louis, Missouri, licensed in New Mexico (AA2024-0006) and active in the NPI registry since June 2023. He is affiliated with Unm Hospital, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043997190
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. NICK BALARAMA RODRIGUEZCredential: AA
Location Address615 S NEW BALLAS RD DEPT OFSaint Louis, MO 63141-8221
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310
Phone(636) 386-9224
Fax(636) 386-7679
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 30, 2023
Last NPPES UpdateMarch 4, 2026
NPPES CertifiedMarch 4, 2026
✔ NPI 1043997190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses✔ Licensed in NM · AA2024-0006✔ Licensed in MO · PENDING
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
615 S NEW BALLAS RD DEPT OF, Saint Louis, MO 63141
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12211 Lomas Blvd NEAlbuquerque, NM 87106-2719 · Phone (505) 272-2111
Location 2455 Saint Michaels DrSanta Fe, NM 87505-7601 · Phone (505) 391-1085

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Nick Balarama Rodriguez Aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991159881
PECOS Enrollment IDI20250122000014

Medicare Billing Reassignments

2

Medicare enrollment records show Nick Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Vincent Hospital
846 mi
Surgery
1213 GUSDORF ROAD
Taos, NM 87571
  • Reassigned Medicare billing, New Mexico enrollment
  • 399 clinicians in this Medicare group
NPI 1265790216 (505) 913-3490
Unm Medical Group Inc
927 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
23 services23 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARIA JONES C-AA
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
BRITTNE BERRY
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
LINDSAY ANNE DAWSON CRNA
Nurse Anesthetist, Certified Registered
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
MS. CHRISTINA BROWN AA
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
SHEHRYAR BOKHARI AA
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
MS. RUCHI DESAI AA
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
MRS. JAMIE DEUBEL DNP, CRNA
Nurse Anesthetist, Certified Registered
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
MS. LORETTE OSUN CRNA
Nurse Anesthetist, Certified Registered
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nick Rodriguez's NPI number?

The NPI number for Nick Rodriguez is 1043997190. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Nick Rodriguez located?

Nick Rodriguez practices at 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141. The listed phone number is (636) 386-9224.

What is Nick Rodriguez's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Nick Rodriguez enrolled in Medicare?

Yes. Nick Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nick Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nick Rodriguez reassigns Medicare benefits to 2 organizations: St. Vincent Hospital (Taos, NM) and Unm Medical Group Inc (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nick Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nick Rodriguez affiliated with any hospitals?

According to CMS data, Nick Rodriguez is affiliated with Unm Hospital and Christus St Vincent Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nick Rodriguez was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.