Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katherine Gabrielle Rodriguez

Individual provider Physician Assistant · NPI 1619444825

Katherine Gabrielle Rodriguez is a Physician Assistant in Kenmore, New York. Qualified in 2020, 6 years ago. Practices with Primary Care of Western New York LLP, a 37-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2018
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Practice location Address checks out

2780 Delaware Ave Ste 201
Kenmore, NY 14217-2748
Phone: (716) 839-8000
Fax: (716) 839-8009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1619444825
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 25, 2018
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Primary Care Of Western New York Llp — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kenmore