ROODOLPH JOSEPH PA
NPI 1114499779
Physician Assistant in Warwick, RI

Q: What is Roodolph Joseph's NPI number?

The NPI number for Roodolph Joseph is 1114499779. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Q: What is Roodolph Joseph's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Roodolph Joseph was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since December 20, 2018PECOS EnrolledAccepts Medicare Assignment

43 JEFFERSON BLVD, WARWICK, RI 02888(401) 941-2830 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2023, Apr 6, 2021, Feb 18, 2020 and 2 more (5 updates tracked since 2018).

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About Roodolph Joseph Pa NPPES

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

ROODOLPH JOSEPH PA (NPI 1114499779) is an individual physician assistant in Warwick, Rhode Island, licensed in Rhode Island (PA01507) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114499779

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameROODOLPH JOSEPHCredential: PA

Location Address43 JEFFERSON BLVDWarwick, RI 02888-1027

Mailing Address110 Elm St Fl 3Providence, RI 02903-4626 · (401) 443-4992 · Fax (401) 537-7241

Phone(401) 941-2830

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 20, 2018

Last NPPES UpdateMarch 6, 20235 updates tracked since enumeration

NPPES CertifiedMarch 6, 2023

✔ NPI 1114499779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in RI · PA01507✔ Licensed in NY · 023160

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

43 JEFFERSON BLVD, Warwick, RI 02888

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Secondary Practice Location 1

Location 1525 E 68th StNew York, NY 10065-4870 · Phone (866) 426-7787

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

Roodolph Joseph Pa 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 ID1052651957

PECOS Enrollment IDI20230316001477

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

54 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02888 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

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