Individual provider Active NPI

Eduardo E Rodriguez, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1053363515
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04594R Issued in LA
Practice address
3525 Prytania St.
Suite 526
New Orleans, LA 70115-3585
Phone
(504) 648-2510
Fax
(504) 897-2064
NPI assigned
May 16, 2006
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04594R LA Primary
Nephrology Physician 207RN0300X 04594R LA

Addresses

Primary practice location

3525 Prytania St.
Suite 526
New Orleans, LA 70115-3585

Mailing address

3434 Prytania St
Ste 110
New Orleans, LA 70115-3547
Phone (504) 648-2510

Other identifiers 1

IdentifierTypeStateIssuer
1199982MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100210000665 LA Practitioner - Internal MedicinePractitioner - Nephrology 4284721762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

3525 Prytania St
Suite 224
New Orleans, LA 70115-3587
Phone (504) 897-7880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04594RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Specialists, Inc. Current Accepting new patients
Crescent City Physicians, Inc. Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Touro Infirmary PastSince May 1, 2020 Accepting new patients

Locations

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

3434 Prytania St
Ste 110
New Orleans, LA 70115
Phone (504) 897-7007

3525 Prytania St
Ste 224
New Orleans, LA 70115
Phone (504) 897-7880

3525 Prytania St
Ste 402
New Orleans, LA 70115
Phone (504) 495-5080

3525 Prytania St
Ste 526
New Orleans, LA 70115
Phone (504) 648-2500

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: erodriguez@imsno.directbygreenway.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1053363515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 PRYTANIA ST",
            "address_2": "STE 110",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153547",
            "telephone_number": "504-648-2510",
            "fax_number": "504-897-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST.",
            "address_2": "SUITE 526",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153585",
            "telephone_number": "504-648-2510",
            "fax_number": "504-897-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDUARDO",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "04594R",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "04594R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1199982",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.