DR. KELLY M RODRIGUEZ (MD) – Family Medicine Physician, NPI 1568455103
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
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Provider Addresses for DR. KELLY M RODRIGUEZ (MD)
20905, Professional Plaza, Ashburn Farm Professional Office Park, Ashburn Farm, Ashburn, Loudoun County, Virginia, 20147, United States
STE 330
ASHBURN, VA 201477783
Phone: (703) 726-0003
Fax: (703) 726-6444
Type: Location
950N GLEBE RD 4000
ARLINGTON, VA 222031824
Phone: (571) 295-7514
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-05-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040504000622 | I | Family Practice | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 414 | 203 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 78 | 78 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 74 | 51 | $0 |
| 83036 | Hemoglobin a1c level | 73 | 47 | $0 |
| G0008 | Administration of influenza virus vaccine | 32 | 32 | $0 |
Insurance plans in this area (ZIP 20147)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | VA | 83036 | Hemoglobin A1C level | 57 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MD | |
| Family Practice | VA | |
| Family Practice | OH | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| Family Practice | IL | |
| Family Practice | MD | |
| Internal Medicine | VA | |
| Family Practice | VA |
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