RUSSELL WAYNE RHOADES (DO) – Internal Medicine Physician, NPI 1164436507

RUSSELL WAYNE RHOADES (DO) is a healthcare provider. based in American fork, Utah. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE, INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 5928040-1204 (UT). The NPI Number for RUSSELL WAYNE RHOADES (DO) is 1164436507

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL WAYNE RHOADES (DO)
NPI
1164436507
Phone
(801) 492-5999
Address
1175 E 50 S Ste 241
Enumeration Date
29 July 2006
Last Update Date
10 May 2022

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
8018125591
Graduation Year
2002 (24 years ago)
PAC ID
6507884004
Group Practice PAC ID
7517868508
Professional Enrollment ID
I20051103000279
Address ID
UT846067311PR512XXPKWY400

Contacts

Secure Messaging
Medreview@reverehealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

19 OSTEOPATHIC MANIPULATIVE MEDICINE in UT

Provider Addresses for RUSSELL WAYNE RHOADES (DO)

  • 1175 E 50 S Ste 241

    American Fork, UT 840032849

    Phone: (801) 492-5999

    Fax: (801) 418-0897

    Type: Location

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 357-7291

    Type: Mailing

  • Utah Valley Hospital, 1034, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States

    PROVO, UT 846043380

    Phone: (801) 357-7291

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 152 Open Payments records for all available years, with a total value of $2,425.

Total Amount is formed as General ($2,425) + Research ($0) + Ownership ($0) = $2,425.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($334).

Total Amount

$2,425

General + Research + Ownership

Payments

152

Total payment records

General Amount

$2,425

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2005-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20051103000279IOsteopathic Manipulative MedicineUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes366200$0
36415Insertion of needle into vein for collection of blood sample163142$0
80053Blood test, comprehensive group of blood chemicals106104$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count10196$0
84443Blood test, thyroid stimulating hormone (tsh)9997$0
View full utilization report →

Insurance plans in this area (ZIP 84003)

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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: 7517868508View full group profile
NameSpecialtyState
-UT
-UT
Internal MedicineUT
Physician AssistantUT
Physician AssistantUT
Physician AssistantUT
Nurse PractitionerUT
Physician AssistantUT
Nurse PractitionerUT
Physician AssistantUT

Reviews

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Frequently asked questions

How is RUSSELL WAYNE RHOADES (DO) identified in CMS data?
CMS-hosted NPPES data lists RUSSELL WAYNE RHOADES (DO) with NPI 1164436507.
Does CMS list RUSSELL WAYNE RHOADES (DO) as active?
Yes — RUSSELL WAYNE RHOADES (DO) is active in the NPI listing used on this page.
What is RUSSELL WAYNE RHOADES (DO)'s primary classification?
Internal Medicine Physician is the headline specialty for RUSSELL WAYNE RHOADES (DO) here. Clinical services aligned with this taxonomy classification.
Where should I expect RUSSELL WAYNE RHOADES (DO) on a map?
Expect American Fork, Utah as a primary anchor for RUSSELL WAYNE RHOADES (DO) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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