RODERICK W FONTENETTE (MD) – Emergency Medicine Physician, NPI 1164672499

RODERICK W FONTENETTE (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01069587A (IN). The NPI Number for RODERICK W FONTENETTE (MD) is 1164672499

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
RODERICK W FONTENETTE (MD)
NPI
1164672499
Phone
(513) 558-5281
Address
231 Albert Sabin Way
Enumeration Date
23 September 2008
Last Update Date
17 May 2019

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Secondary Phone
9167347777
Graduation Year
2008 (18 years ago)
PAC ID
3971780362
Group Practice PAC ID
3375456619
Professional Enrollment ID
I20170321001288
Address ID
CA958164300SA2825XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:17State licenses:4Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for RODERICK W FONTENETTE (MD)

  • 231 Albert Sabin Way

    Cincinnati, OH 452672827

    Phone: (513) 558-5281

    Fax: (513) 558-5791

    Type: Location

  • 101 BODIN CIR

    CENTRAL CREDENTIALING

    TRAVIS AFB, CA 945351809

    Phone: (707) 423-3000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $984.

Total Amount is formed as General ($984) + Research ($0) + Ownership ($0) = $984.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Ceribell, Inc. ($963).

Total Amount

$984

General + Research + Ownership

Payments

2

Total payment records

General Amount

$984

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-03-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110613000472IEmergency MedicineINTBD
I20121022000092IEmergency MedicineLATBD
I20170321001288IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes569233$0
99285Emergency department visit with high level of medical decision making7777$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4745$0
99284Emergency department visit with moderate level of medical decision making3636$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)3534$0
View full utilization report →

Insurance plans in this area (ZIP 45267)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375456619View full group profile
NameSpecialtyState
Nurse PractitionerNY
-PA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
Physician AssistantIL
Internal Medicine, Hospice/Palliative CareCA
Family PracticeCA
-CA
-CA
-CA

Reviews

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Frequently asked questions

How is RODERICK W FONTENETTE (MD) identified in CMS data?
CMS-hosted NPPES data lists RODERICK W FONTENETTE (MD) with NPI 1164672499.
Can I rely on RODERICK W FONTENETTE (MD) being an active provider?
As of the registry snapshot, RODERICK W FONTENETTE (MD) is marked active.
What is RODERICK W FONTENETTE (MD)'s specialty?
The listing groups RODERICK W FONTENETTE (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does RODERICK W FONTENETTE (MD) serve?
RODERICK W FONTENETTE (MD)'s listing highlights Cincinnati, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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