Active NPI
Hector Rodriguez Jr., MD
- Allergy & Immunology Physician
- West Columbia, SC
National Provider Identifier
1013233097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD38380
- Practice address
- 103 Midlands CT
West Columbia, SC 29169-3456 - Phone
- (803) 794-3581
- Fax
- (803) 791-7286
- NPI assigned
- Apr 15, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 38380 | SC | |
| Allergy & Immunology Physician | 207K00000X | MD38380 | SC | Primary |
Addresses
Primary practice location
103 Midlands CT
West Columbia, SC 29169-3456
Mailing address
PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC62386874 | Other | SC | MEDICARE PTAN |
| 383800 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of South Carolina School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Midlands CT
West Columbia, SC 29169-3456
Phone (803) 794-3581
Hospital & facility affiliations
- Lexington Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38380 | SC | MD | Allergy & Immunology Physician |
| MD38380 | SC | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy Partners, PLLC | Allergy & Immunology | Current | Accepting new patients |
| NPI 1508468638 | Allergy & Immunology | Current | Accepting new patients |
| Allergy Partners, PLLC | Allergy & Immunology | Current | Accepting new patients |
Locations
103 Midlands Ct
West Columbia, SC 29169
Phone (803) 794-3581
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Mount Pleasant, SC
- NPI 1538101258
-
- Allergy & Immunology Physician
- West Columbia, SC
- NPI 1750372827
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Columbia, SC
- NPI 1386241834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1013233097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603725",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603725",
"telephone_number": "828-575-2625",
"fax_number": "828-350-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MIDLANDS CT",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693456",
"telephone_number": "803-794-3581",
"fax_number": "803-791-7286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "HECTOR",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "SC",
"license": "38380",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "SC",
"license": "MD38380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "SC62386874",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "383800",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.