Individual provider Active NPI

Liana Rodriguez, DO

  • Internal Medicine Physician
  • Orwigsburg, PA
National Provider Identifier
1053577601
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS021774 Issued in PA
Practice address
1120 Centre Tpke
Orwigsburg, PA 17961-9191
Phone
(570) 366-2613
Fax
(570) 366-2618
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS12353 FL
Internal Medicine Physician 207R00000X 23342 MS
Internal Medicine Physician 207R00000X OS021774 PA Primary

Addresses

Primary practice location

1120 Centre Tpke
Orwigsburg, PA 17961-9191

Mailing address

1120 Centre Tpke
Orwigsburg, PA 17961-9191
Phone (570) 366-2613

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 8, 2019 through Apr 8, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS021774PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Integrative Medicine LLC Current Accepting new patients

Locations

1120 Centre Tpke
Orwigsburg, PA 17961
Phone (570) 366-2613

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1053577601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CENTRE TPKE",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179619191",
            "telephone_number": "570-366-2613",
            "fax_number": "570-366-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CENTRE TPKE",
            "city": "ORWIGSBURG",
            "state": "PA",
            "postal_code": "179619191",
            "telephone_number": "570-366-2613",
            "fax_number": "570-366-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LIANA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS12353",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "23342",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS021774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orwigsburg, PA

Sources for this page

Verify at the official NPI Registry.