DEIRDRE RODERICKS M.D.
NPI 1619330966
Physical Medicine & Rehabilitation - Sports Medicine in Newton, MA

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
159 WELLS AVE, NEWTON, MA 02459(617) 243-5777 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2021, Apr 12, 2021, Nov 24, 2020 and 1 more (4 updates tracked since 2019).

About Deirdre Rodericks M.d. NPPES

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

DEIRDRE RODERICKS M.D. (NPI 1619330966) is an individual sports medicine provider in Newton, Massachusetts, licensed in Massachusetts (290185) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Hospital For Special Surgery, and is a graduate of Boston University School Of Medicine (2016).

NPPES Registry Identity

NPI1619330966
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameDEIRDRE RODERICKSCredential: M.D.
Location Address159 WELLS AVENewton, MA 02459-3301
Mailing Address300 1st AveCharlestown, MA 02129-3109 · (617) 952-5299
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateOctober 5, 20214 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
NPI 1619330966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License Licensed in MA · 290185
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedInternal MedicineTaxonomy 207R00000X · License 267300 (MA)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 125069738 (IL)
159 WELLS AVE, Newton, MA 02459

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

Deirdre Rodericks M.d. 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 ID4880989565
PECOS Enrollment IDI20250516002592
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 13

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.
160 services109 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services76 patients
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.
73 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 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.
57 services48 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
40 services32 patients

Hospital Affiliations CMS Care Compare

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

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Other Providers at the Same Location NPPES 6

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

Psychologist
159 WELLS AVE
NEWTON, MA 02459
Physical Medicine & Rehabilitation (Sports Medicine)
159 WELLS AVE
NEWTON, MA 02459
Neurological Surgery
159 WELLS AVE
NEWTON, MA 02459
Nurse Practitioner
159 WELLS AVE
NEWTON, MA 02459
Orthopaedic Surgery
159 WELLS AVE
NEWTON, MA 02459
Physical Medicine & Rehabilitation
159 WELLS AVE
NEWTON, MA 02459

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 Deirdre Rodericks's NPI number?

The NPI number for Deirdre Rodericks is 1619330966. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Deirdre Rodericks located?

Deirdre Rodericks practices at 159 Wells Ave, Newton, MA 02459. The listed phone number is (617) 243-5777.

What is Deirdre Rodericks's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Deirdre Rodericks enrolled in Medicare?

Yes. Deirdre Rodericks 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 Deirdre Rodericks affiliated with any hospitals?

According to CMS data, Deirdre Rodericks is affiliated with Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Deirdre Rodericks was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.