Active NPI
Rachel Marie Rodriguez, MD
- Pediatrics Physician
- Kissimmee, FL
National Provider Identifier
1053708313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036.159444
- Practice address
- 246 Oakhurst Cir
Kissimmee, FL 34744-4752 - Phone
- (754) 702-7256
- NPI assigned
- Apr 23, 2015
- Last updated
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R7868 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10052449 | TX | |
| Pediatrics Physician | 208000000X | 036.159444 | IL | Primary |
Addresses
Primary practice location
246 Oakhurst Cir
Kissimmee, FL 34744-4752
Mailing address
256 7TH Ave Apt 2
Brooklyn, NY 11215-3611
Phone (214) 507-2070
Other practice location 1
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (214) 507-2070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036.159444 | Other | IL | IL MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.159444 | IL | MD | Pediatrics Physician |
| R7868 | TX | MD | Pediatrics Physician |
| BP10052449 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blueberry Medical PA | Pediatrics | Past | Accepting new patients |
| Linda D Parsi MD Faap PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1396201752
-
dba Parsi Pediatrics
- Primary Care Clinic/Center
- San Antonio, TX
- NPI 1497954267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1053708313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 7TH AVE APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112153611",
"telephone_number": "214-507-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 OAKHURST CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444752",
"telephone_number": "754-702-7256"
}
],
"practiceLocations": [
{
"address_1": "7703 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293901",
"country_code": "US",
"telephone_number": "214-507-2070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RACHEL",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-23",
"last_updated": "2022-04-01",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "R7868",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10052449",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.159444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL MEDICAID",
"identifier": "036.159444",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.