JODY M RHOADES (MD) – Internal Medicine Physician, NPI 1104851039

JODY M RHOADES (MD) is a healthcare provider. based in Bothell, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD60101060 (WA). The NPI Number for JODY M RHOADES (MD) is 1104851039

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
JODY M RHOADES (MD)
NPI
1104851039
Phone
(425) 412-7200
Address
1909 214TH ST SE
Enumeration Date
11 July 2006
Last Update Date
22 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
4254127200
Graduation Year
1994 (32 years ago)
PAC ID
1759284631
Group Practice PAC ID
2466350657
Professional Enrollment ID
I20091028000636
Address ID
WA980214418BO1909XSEXX402
Telehealth
Yes

Contacts

Secure Messaging
jrhoades1042827@wm.providencedirect.org
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

4,058 INTERNAL MEDICINE in WA

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Provider Addresses for JODY M RHOADES (MD)

  • 1909, 214th Street Southeast, Thrashers Corner, Bothell, Snohomish County, Washington, 98021, United States

    SUITE 300

    BOTHELL, WA 980214412

    Phone: (425) 412-7200

    Fax: (425) 412-7341

    Mailing address matches the actual address.

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: 2009-10-28

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
I20091028000636IInternal MedicineWATBD

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 minutes7170$0
99215Established patient office or other outpatient visit, 40-54 minutes3332$0
99213Established patient office or other outpatient visit, 20-29 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 98021)

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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: 2466350657View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How do payers reference JODY M RHOADES (MD)?
For JODY M RHOADES (MD), use NPI 1104851039 as the unique 10-digit identifier.
Active or inactive — what applies to JODY M RHOADES (MD)?
You should see JODY M RHOADES (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to JODY M RHOADES (MD)?
JODY M RHOADES (MD)'s specialty line reads Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is JODY M RHOADES (MD) registered?
Use Bothell, Washington as the headline location for JODY M RHOADES (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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