DR. KELLY M RODRIGUEZ MD
NPI 1568455103
Family Medicine in Ashburn, VA

Q: What is Kelly Rodriguez's NPI number?

The NPI number for Kelly Rodriguez is 1568455103. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Q: What is Kelly Rodriguez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Rodriguez was last updated on October 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 30, 2005PECOS EnrolledAccepts Medicare Assignment

20905 PROFESSIONAL PLZ, STE 330, ASHBURN, VA 20147(703) 726-0003(703) 726-6444 Get Directions Write a Review

NPPES record last updated: October 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Kelly M Rodriguez Md NPPES

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

DR. KELLY M RODRIGUEZ MD (NPI 1568455103) is an individual family medicine provider in Ashburn, Virginia, licensed in Virginia (0101231491) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Temple University School Of Medicine (2000).

NPPES Registry Identity

NPI1568455103

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KELLY M RODRIGUEZCredential: MD

Location Address20905 PROFESSIONAL PLZ, STE 330Ashburn, VA 20147-7783

Mailing Address950n Glebe Rd 4000Arlington, VA 22203-1824 · (571) 295-7514

Phone(703) 726-0003

Fax(703) 726-6444

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2000

Enumeration DateAugust 30, 2005

Last NPPES UpdateOctober 18, 2020

NPPES CertifiedOctober 18, 2020

✔ NPI 1568455103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0101231491

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

20905 PROFESSIONAL PLZ, Ashburn, VA 20147

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Other Identifiers 2

OtherP00010206Rr Medicare

Medicaid05647096VA

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

Dr. Kelly M Rodriguez Md 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 ID7719975234

PECOS Enrollment IDI20040504000622, I20050121000354

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 12

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.

452 services205 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

111 services111 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

74 services44 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.

55 services44 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

44 services44 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

38 services38 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

35 services35 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

35 services35 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

27 services24 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.

20 services17 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services12 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490043

Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County

Emergency services Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490107

Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20147 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

90%8,998 patients3/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

73%1,009 patients4/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%433 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

49%3,163 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%3,037 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

74%3,037 patients4/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

69%3,037 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers21 claims65 services$6.89 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

NINA K CARSWELL PT

Physical Therapist

20905 PROFESSIONAL PLZ, SUITE 110
ASHBURN, VA 20147

Loudoun County (703) 726-1616

DR. DAVID MARC BAND M.D.

Psychiatry & Neurology (Psychiatry)

20905 PROFESSIONAL PLZ, SUITE 220
ASHBURN, VA 20147

Loudoun County (703) 858-9841

LACY KNIGHT PT

Physical Therapist

20905 PROFESSIONAL PLZ, SUITE 110
ASHBURN, VA 20147

Loudoun County (703) 726-1616

DR. MICHAEL S HAN DDS

Dentist (General Practice)

20905 PROFESSIONAL PLZ, STE 210
ASHBURN, VA 20147

Loudoun County (703) 723-9909

JANET CROSIER PT

Physical Therapist

20905 PROFESSIONAL PLZ, SUITE 110
ASHBURN, VA 20147

Loudoun County (703) 726-1616

DR. JEFFREY A COHN MD

Family Medicine

20905 PROFESSIONAL PLZ, STE 330
ASHBURN, VA 20147

Loudoun County (703) 726-0003

KIMBERLY CULPEPPER LPC, NCC

Counselor (Professional)

20905 PROFESSIONAL PLZ, SUITE 220
ASHBURN, VA 20147

Loudoun County (703) 858-9841

CARLA BELSHER LCSW

Social Worker (Clinical)

20905 PROFESSIONAL PLZ
ASHBURN, VA 20147

Loudoun County (703) 858-9446

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 Kelly Rodriguez's NPI number?

The NPI number for Kelly Rodriguez is 1568455103. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Kelly Rodriguez located?

Kelly Rodriguez practices at 20905 Professional Plz Ste 330, Ashburn, VA 20147. The listed phone number is (703) 726-0003.

What is Kelly Rodriguez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelly Rodriguez enrolled in Medicare?

Yes. Kelly 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.

Is Kelly Rodriguez affiliated with any hospitals?

According to CMS data, Kelly Rodriguez is affiliated with Inova Loudoun Hospital and Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Kelly Rodriguez was last updated on October 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.