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DR. JEFF R. RODERICK DC
NPI 1740289248
Chiropractor in Mesa, AZ

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
4864 E BASELINE RD STE 105, MESA, AZ 85206(480) 558-1900(480) 633-6058 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2020, Nov 16, 2018, May 17, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Jeff R. Roderick Dc NPPES

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

DR. JEFF R. RODERICK DC (NPI 1740289248) is an individual chiropractor in Mesa, Arizona, licensed in Arizona (8537) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1740289248
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JEFF R. RODERICKCredential: DC
Location Address4864 E BASELINE RD STE 105Mesa, AZ 85206-4629
Mailing Address4864 E Baseline Rd Ste 105Mesa, AZ 85206-4629 · (480) 558-1900 · Fax (480) 633-6058
Phone(480) 558-1900
Fax(480) 633-6058
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 18, 2005
Last NPPES UpdateApril 16, 20204 updates tracked since enumeration
NPPES CertifiedApril 16, 2020
✔ NPI 1740289248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 8537
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License CHIA-872 (ID)
4864 E BASELINE RD STE 105, Mesa, AZ 85206
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Other Identifiers 3

Other000010025346ID · Blue Shield
MedicaidM8059948ID
OtherC8729ID · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Medica and more.Insurance ›

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. Jeff R. Roderick Dc 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 ID1557495280
PECOS Enrollment IDI20161025002886
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

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.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
336 services39 patients

Other Providers at the Same Location NPPES 4

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

EVEREST MEDICAL GROUP INC
General Practice
4864 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 558-1900
CM HEALTHCARE LLC
Chiropractor
4864 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 558-1900
EVEREST PEDIATRIC THERAPY LLC
Clinic/Center (Rehabilitation)
4864 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 734-5595
MRS. CANDICE M GAITANIS CFNP, ARNP
Nurse Practitioner (Family)
4864 E BASELINE RD STE 105
MESA, AZ 85206
Maricopa County (480) 558-1900

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 Jeff Roderick's NPI number?

The NPI number for Jeff Roderick is 1740289248. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Jeff Roderick located?

Jeff Roderick practices at 4864 E Baseline Rd Ste 105, Mesa, AZ 85206. The listed phone number is (480) 558-1900.

What is Jeff Roderick's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jeff Roderick enrolled in Medicare?

Yes. Jeff Roderick 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.

What insurance does Jeff Roderick accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Medica and Providence Health Plan list Jeff Roderick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeff Roderick was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.