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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSE RODOLFO CHILDERS PA-C
NPI 1881538916
Physician Assistant in Lexington, KY

Active since April 17, 2026PECOS Enrolled
100 N EAGLE CREEK DR, LEXINGTON, KY 40509(859) 258-5027(859) 258-5177 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Apr 17, 2026 (2 updates tracked since 2026).

About Jose Rodolfo Childers Pa-c NPPES

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

JOSE RODOLFO CHILDERS PA-C (NPI 1881538916) is an individual physician assistant in Lexington, Kentucky, licensed in Kentucky (PA3864) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1881538916
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSE RODOLFO CHILDERSCredential: PA-C
Location Address100 N EAGLE CREEK DRLexington, KY 40509-1805
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Phone(859) 258-5027
Fax(859) 258-5177
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 17, 2026
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1881538916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA3864
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 N EAGLE CREEK DR, Lexington, KY 40509
Open in Google Maps ↗

Other Identifiers 1

Medicaid7101149680KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Rodolfo Childers Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951879873
PECOS Enrollment IDI20260508000209
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DAVID R. KIELAR M.D.
Ophthalmology
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (859) 258-5310
JOHN C. SPARROW M.D.
Ophthalmology
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (859) 258-5310
DENISE MICHELLE POLNISCH P.T.
Physical Therapist
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (859) 258-5073
DR. SONYA K DUSSEAULT DO
Family Medicine
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (859) 258-5027
MRS. SHARRIE DENNILLE REYNOLDS APRN
Nurse Practitioner
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (859) 258-5285
REBEKAH DIXON MCDANIEL DO
Family Medicine
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (859) 258-4000
DR. MICHAEL THORNTON NEWCOMB M.D.
Ophthalmology
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (859) 258-5310
ANN E. ARMBRUSTER R.PH.
Pharmacist
100 N EAGLE CREEK DR
LEXINGTON, KY 40509
Fayette County (859) 258-5562

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 Jose Childers's NPI number?

The NPI number for Jose Childers is 1881538916. It was assigned to this individual provider in the NPPES registry on April 17, 2026.

Where is Jose Childers located?

Jose Childers practices at 100 N Eagle Creek Dr, Lexington, KY 40509. The listed phone number is (859) 258-5027.

What is Jose Childers's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jose Childers enrolled in Medicare?

Yes. Jose Childers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose Childers was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.