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RODAMES D DEDICATORIA MD
NPI 1811973191
Family Medicine in Peoria, AZ

Active since December 19, 2005PECOS Enrolled
28516 N EL MIRAGE RD STE 105, PEORIA, AZ 85383(480) 716-4928(623) 401-9306 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rodames D Dedicatoria Md NPPES

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

RODAMES D DEDICATORIA MD (NPI 1811973191) is an individual family medicine provider in Peoria, Arizona, licensed in Arizona (80156) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811973191
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRODAMES D DEDICATORIACredential: MD
Location Address28516 N EL MIRAGE RD STE 105Peoria, AZ 85383-2094
Mailing AddressPo Box 24981Belfast, ME 04915-2000
Phone(480) 716-4928
Fax(623) 401-9306
Sole ProprietorNo
Enumeration DateDecember 19, 2005
Last NPPES UpdateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1811973191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 80156
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.
28516 N EL MIRAGE RD STE 105, Peoria, AZ 85383
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rodames D Dedicatoria 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.

Medicare Billing Reassignment

Medicare enrollment records show Rodames Dedicatoria reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Summit Medical Group Arizona LLC
12 mi
Family Medicine
5620 W THUNDERBIRD RD STE F1
Glendale, AZ 85306
  • Reassigned Medicare billing, Arizona enrollment
  • 251 clinicians in this Medicare group
NPI 1053810622 (844) 969-0686

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85383 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Rodames Dedicatoria's NPI number?

The NPI number for Rodames Dedicatoria is 1811973191. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Rodames Dedicatoria located?

Rodames Dedicatoria practices at 28516 N El Mirage Rd Ste 105, Peoria, AZ 85383. The listed phone number is (480) 716-4928.

What is Rodames Dedicatoria's specialty?

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

Is Rodames Dedicatoria enrolled in Medicare?

Yes. Rodames Dedicatoria is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rodames Dedicatoria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodames Dedicatoria reassigns Medicare benefits to Summit Medical Group Arizona LLC (Glendale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rodames Dedicatoria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodames Dedicatoria accept?

Health plans from Ambetter from Arizona Complete Health, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Rodames Dedicatoria 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 Rodames Dedicatoria was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.