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

Mr. Nick Balarama Rodriguez, AA

Individual provider Anesthesiologist Assistant · NPI 1043997190

Mr. Nick Balarama Rodriguez, AA is an Anesthesiology Assistant in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Practices with Unm Medical Group Inc, a 1,060-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri and New Mexico.

Years since qualifying
3
Licensed in
MO, NM
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

615 S New Ballas Rd Dept OF
Saint Louis, MO 63141-8221
Phone: (636) 386-9224
Fax: (636) 386-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 — (505) 272-2111
  • 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 — (505) 391-1085

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA2024-0006 (NM)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence PENDING (MO)

Record details

NPI number1043997190
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedJune 30, 2023
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Unm Medical Group Inc — 1060 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Saint Louis