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

Q: 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.

Q: What is Nick Rodriguez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nick Rodriguez was last updated on March 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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 Christus St Vincent Regional Medical Center, 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

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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, and ordering and referring status from the CMS PECOS system.

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

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

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

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

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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