Individual provider Active NPI

Reynaldo Rodriguez, DO

  • Gastroenterology Physician
  • Mobile, AL
National Provider Identifier
1023055340
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DO-510 Issued in AL
Practice address
3601 Springhill Business Park
Mobile, AL 36608-1256
Phone
(251) 873-6192
Fax
(251) 873-6193
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DO-510 AL Primary

Addresses

Primary practice location

3601 Springhill Business Park
Mobile, AL 36608-1256

Mailing address

480 Honeysuckle Rd
Dothan, AL 36305-1156
Phone (334) 836-1212

Other practice location 1

75 S University Blvd
Ucom 6000 B
Mobile, AL 36688-0002
Phone (251) 660-5555

Other identifiers 8

IdentifierTypeStateIssuer
009928600MedicaidAL
255684700MedicaidFL
020031650OtherGARAILORAD MEDICARE PTAN
51028994OtherALBCBS
29-10274OtherALUNITED HEALTHCARE
009958940MedicaidAL
51096054OtherALBCBS
00120906MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000842 AL Practitioner - Gastroenterology 3375583099 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of North Texas HSC, College of Osteopathic Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gut PCGroup PAC ID 3375589799, 53 clinicians

Practice addresses (Care Compare)

2119 E S Blvd
Suite 200
Montgomery, AL 36116-2496
Phone (334) 613-7070

480 Honeysuckle Rd
Dothan, AL 36305-1156
Phone (334) 836-1212

Hospital & facility affiliations

  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy85
Upper gastrointestinal (GI) endoscopy for acid reflux231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DO-510ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Feb 1, 2014 Accepting new patients
Gut PC CurrentSince Nov 12, 2020 Accepting new patients
University of South Alabama CurrentSince Sep 23, 2006 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Feb 1, 2014 Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
University of South Alabama Current Accepting new patients
USA Health Physician Billing Services LLC Current Accepting new patients
USA Health - Mci Business Services LLC Current Accepting new patients
University of South Alabama Current Accepting new patients
Gut PC Gastroenterology CurrentSince Nov 12, 2020 Accepting new patients
University of South Alabama Mitchell Cancer Institute CurrentSince Sep 23, 2006 Accepting new patients
Internal Medicine Center Gastroenterology Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients

Locations

480 Honeysuckle Rd
Dothan, AL 36305
Phone (334) 792-6933

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608
Phone (251) 414-3079

3601 Springhill Business Park
Ste 201
Mobile, AL 36608
Phone (251) 873-6192

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

5600 Girby Rd
Mobile, AL 36693
Phone (251) 435-2646

75 S University Blvd
#6000B
Mobile, AL 36608
Phone (251) 660-5555

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

2119 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 613-7070

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

Networks

  • MS PPO
  • FL PPO
  • MS PPO C-SNP
  • MS PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: reynaldo.rodriguez@direct.baptistfirst.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1023055340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HONEYSUCKLE RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051156",
            "telephone_number": "334-836-1212",
            "fax_number": "334-836-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SPRINGHILL BUSINESS PARK",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081256",
            "telephone_number": "251-873-6192",
            "fax_number": "251-873-6193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 S University Blvd",
            "address_2": "UCOM 6000 B",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366880002",
            "country_code": "US",
            "telephone_number": "251-660-5555",
            "fax_number": "251-660-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "REYNALDO",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "DO-510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009928600",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255684700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILORAD MEDICARE PTAN",
            "identifier": "020031650",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51028994",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "29-10274",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009958940",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51096054",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120906",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.