ROBERT EUGENE RODGERS III MD
NPI 1629764493
Student in an Organized Health Care Education/Training Program in Fairborn, OH

Q: What is Robert Rodgers's NPI number?

The NPI number for Robert Rodgers is 1629764493. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Q: What is Robert Rodgers's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Rodgers was last updated on April 28, 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 April 14, 2023PECOS Enrolled

2555 UNIVERSITY DR, FAIRBORN, OH 45324(937) 775-7792 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Robert Eugene Rodgers Iii Md NPPES

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

ROBERT EUGENE RODGERS III MD (NPI 1629764493) is an individual student in an organized health care education/training program in Fairborn, Ohio and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629764493

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameROBERT EUGENE RODGERS IIICredential: MD

Location Address2555 UNIVERSITY DRFairborn, OH 45324-6255

Mailing Address2555 University DrFairborn, OH 45324-6255

Phone(937) 775-7792

Sole ProprietorNo

Enumeration DateApril 14, 2023

Last NPPES UpdateApril 28, 2023

NPPES CertifiedApril 28, 2023

✔ NPI 1629764493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2555 UNIVERSITY DR, Fairborn, OH 45324

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Eugene Rodgers Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

SANA SHAMEEM MD

Student in an Organized Health Care Education/Training Program