Individual provider Active NPI

Enrique Rodriguez, M.D.

  • Vascular & Interventional Radiology Physician
  • New Bern, NC
National Provider Identifier
1093058620
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
2019-00709 Issued in NC
Practice address
722 Newman Rd
New Bern, NC 28562-5238
Phone
(252) 633-5057
Fax
(252) 633-0084
NPI assigned
Apr 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 2019-00709 NC Primary
Diagnostic Radiology Physician 2085R0202X 2019-00709 NC
Vascular & Interventional Radiology Physician 2085R0204X 0101289242 VA
Diagnostic Radiology Physician 2085R0202X 0101289242 VA
Diagnostic Radiology Physician 2085R0202X 4301103074 MI

Addresses

Primary practice location

722 Newman Rd
New Bern, NC 28562-5238

Mailing address

801 Arcane Cir
New Bern, NC 28562-7310
Phone (305) 283-8610

Other practice location 1

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073

Other practice location 2

7064 SW 114th Pl
Unit C
Miami, FL 33173-1850
Phone (305) 283-8610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191204000891 NC Practitioner - Diagnostic Radiology 3678706025 Reassigns benefits to 6 organizations
I20260609002504 VA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3678706025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians

Practice addresses (Care Compare)

1000 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-3278

1020 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 514-6685

1030 Medical Park Ave
New Bern, NC 28562-5248
Phone (336) 274-6682

1040 Medical Park Ave
New Bern, NC 28562-5248
Phone (336) 274-6682

1165 Cedar Point Blvd
Suite I
Cedar Point, NC 28584-1030
Phone (336) 274-6682

1331 N Elm St
Greensboro, NC 27401-6304
Phone (336) 274-6682

137 Medical LN
Pollocksville, NC 28573-8200
Phone (336) 274-6682

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (336) 274-6682

300 W 27TH St
Lumberton, NC 28358-3075
Phone (336) 274-6682

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (336) 274-6682

702 Newman Rd
New Bern, NC 28562-5238
Phone (336) 274-6682

722 Newman Rd
New Bern, NC 28562-5238
Phone (336) 274-6682

730 Newman Rd
New Bern, NC 28562-5238
Phone (336) 274-6682

738 Newman Rd
New Bern, NC 28562-5238
Phone (336) 274-6682

801 Arcane Cir
New Bern, NC 28562-7310
Phone (336) 274-6682

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073

900 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 639-5959

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301103074MIMDDiagnostic Radiology Physician
2019-00709NCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Health Care PA Current Accepting new patients
Coastal Carolina Health Care PA CurrentSince Oct 1, 2019 Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients

Locations

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

1030 Medical Park Ave
New Bern, NC 28562
Phone (252) 637-5480

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

722 Newman Rd
New Bern, NC 28562
Phone (828) 884-3424

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1093058620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ARCANE CIR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285627310",
            "telephone_number": "305-283-8610",
            "fax_number": "252-633-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625238",
            "telephone_number": "252-633-5057",
            "fax_number": "252-633-0084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104418",
            "country_code": "US",
            "telephone_number": "703-369-8073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7064 SW 114th Pl",
            "address_2": "Unit C",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331731850",
            "country_code": "US",
            "telephone_number": "305-283-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "2019-00709",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2019-00709",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101289242",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101289242",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301103074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.