CALLY RODRIGUES PA-C
NPI 1174193387
Physician Assistant in Providence, RI

Active since June 29, 2021PECOS EnrolledAccepts Medicare Assignment
100 DUDLEY ST FL 3, PROVIDENCE, RI 02905(401) 453-7953(401) 453-7790 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 27, 2025, Nov 5, 2021, Jul 22, 2021 and 1 more (4 updates tracked since 2021).

About Cally Rodrigues Pa-c NPPES

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

CALLY RODRIGUES PA-C (NPI 1174193387) is an individual physician assistant in Providence, Rhode Island, licensed in Rhode Island (PA01344) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174193387
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCALLY RODRIGUESCredential: PA-C
Location Address100 DUDLEY ST FL 3Providence, RI 02905-3233
Mailing Address41 Sanderson RdSmithfield, RI 02917-2602 · (401) 349-0366
Fax(401) 453-7790
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 29, 2021
Last NPPES UpdateFebruary 27, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
NPI 1174193387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in RI · PA01344
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.

100 DUDLEY ST FL 3, Providence, RI 02905

Secondary Practice Locations 2

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1100 · Fax (401) 453-7666
Location 241 Sanderson RdSmithfield, RI 02917-2602 · Phone (401) 349-0366

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

Cally Rodrigues Pa-c 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 ID4284038076
PECOS Enrollment IDI20210802000141
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 3

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.
404 services273 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
261 services219 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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 2

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

Internal Medicine (Gastroenterology)
100 DUDLEY ST FL 3
PROVIDENCE, RI 02905
Internal Medicine (Gastroenterology)
100 DUDLEY ST FL 3
PROVIDENCE, RI 02905

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 Cally Rodrigues's NPI number?

The NPI number for Cally Rodrigues is 1174193387. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Cally Rodrigues located?

Cally Rodrigues practices at 100 Dudley St Fl 3, Providence, RI 02905. The listed phone number is (401) 453-7953.

What is Cally Rodrigues's specialty?

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

Is Cally Rodrigues enrolled in Medicare?

Yes. Cally Rodrigues 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.

Is Cally Rodrigues affiliated with any hospitals?

According to CMS data, Cally Rodrigues is affiliated with Kent County Memorial Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Cally Rodrigues was last updated on February 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.