Active NPI
Edwin Nicholas Rodriguez, MD
- Anesthesiology Physician
- Farmington, CT
National Provider Identifier
1003557117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 111815
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-1127 - Phone
- (860) 679-3600
- Fax
- (860) 679-1275
- NPI assigned
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 111815 | GA | Primary |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030-1127
Mailing address
263 Farmington Ave
Farmington, CT 06030-1921
Phone (860) 679-2147
Other practice location 1
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8917
Other practice location 2
4725 N Federal Hwy
Ft Lauderdale, FL 33308-4603
Phone (954) 938-3359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1611
1000 Johnson Fy Rd NE
Atlanta, GA 30342
1100 Johnson Fy Rd NE
Atlanta, GA 30342-1709
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111815 | GA | MD | Anesthesiology Physician |
Interoperability endpoints
- erodriguez3020778@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1003557117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060301921",
"telephone_number": "860-679-2147",
"fax_number": "860-679-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060301127",
"telephone_number": "860-679-3600",
"fax_number": "860-679-1275"
}
],
"practiceLocations": [
{
"address_1": "1000 Johnson Ferry Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421606",
"country_code": "US",
"telephone_number": "404-851-8917",
"fax_number": "404-303-3636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4725 N Federal Hwy",
"address_purpose": "LOCATION",
"city": "Ft Lauderdale",
"state": "FL",
"postal_code": "333084603",
"country_code": "US",
"telephone_number": "954-938-3359",
"fax_number": "954-492-5790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "EDWIN",
"middle_name": "NICHOLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "111815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.