Active NPI
Reynaldo Rodriguez, DO
- Gastroenterology Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- DO-510
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009928600 | Medicaid | AL | |
| 255684700 | Medicaid | FL | |
| 020031650 | Other | GA | RAILORAD MEDICARE PTAN |
| 51028994 | Other | AL | BCBS |
| 29-10274 | Other | AL | UNITED HEALTHCARE |
| 009958940 | Medicaid | AL | |
| 51096054 | Other | AL | BCBS |
| 00120906 | Medicaid | MS |
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
Enrollment records 1
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
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
- Baptist Medical Center South
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 85 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 231 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-510 | AL | MD | Gastroenterology Physician |
Practice roles
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
- 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.
-
- Gastroenterology Physician
- Dothan, AL
- NPI 1073566006
-
- Family Medicine Physician
- Montgomery, AL
- NPI 1982653390
-
- Family Medicine Physician
- Mobile, AL
- NPI 1992746838
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
-
- Anesthesiology Physician
- Dothan, AL
- NPI 1790201903
-
- Cardiovascular Disease Physician
- Montgomery, AL
- NPI 1427822279
-
- Clinical Medical Laboratory
- Mobile, AL
- NPI 1497859052
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1700241015
-
- Multi-Specialty Clinic/Center
- Mobile, AL
- NPI 1023210259
-
- Hematology & Oncology Physician
- Mobile, AL
- NPI 1952972812
-
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.