Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Rodney Jamal Kellum, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1639917529

Dr. Rodney Jamal Kellum, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Phoenix, Arizona. Qualified in 2025, 1 year ago. Practices with Ouachita Regional Anesthesia PLLC, a 17-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas and Arizona.

Years since qualifying
1
Licensed in
AR, AZ
In the registry since
2024
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

7301 N 16th St Ste 102
Phoenix, AZ 85020-5266
Phone: (480) 420-4027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1910 Malvern Ave, Hot Springs, AR 71901-7752 — (501) 321-1000
  • 6644 E Baywood Ave, Mesa, AZ 85206-1747 — (480) 321-2000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 327534 (AZ)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 230485 (AR)

Record details

NPI number1639917529
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 16, 2024
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Ouachita Regional Anesthesia Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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