Vanessa M Rodriguez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10001486A Issued in IN

Practice address

205 E 86TH CT
Merrillville, IN 46410-6259

Phone

(219) 769-9070

Fax

(219) 769-1758

NPI assigned

Aug 13, 2008

Last updated

Nov 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Childrens and Family Medicine Clinic PCGroup PAC ID 3870876550, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
• Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
• Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Childrens & Family Medicine Clinic PC

  • Primary Care Clinic/Center
  • Munster, IN
  • NPI 1265978043
  Medicare reassignment Care Compare group
• Azra S Sheriff MD PC

  • Clinic/Center
  • Munster, IN
  • NPI 1043375983
  NPD (past)
• Childrens and Family Health Clinic

  • Pediatrics Physician
  • Merrillville, IN
  • NPI 1609899533
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Stroke and Rehabilitation Center Inc

  dba Powers Health Rehabilitation Center

  • Rehabilitation Hospital
  • Crown Point, IN
  • NPI 1801301437

  Inpatient rehabilitation facility

  Care Compare affiliation
• Franciscan Health Crown Point

  • General Acute Care Hospital
  • Crown Point, IN
  • NPI 1336205798
  Care Compare affiliation
• The Methodist Hospitals, Inc

  • General Acute Care Hospital
  • Gary, IN
  • NPI 1467504555
  Care Compare affiliation

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1114173978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 86TH CT",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106259",
            "telephone_number": "219-769-9070",
            "fax_number": "219-769-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 86TH CT",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106259",
            "telephone_number": "219-769-9070",
            "fax_number": "219-769-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VANESSA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001486A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100212430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Rock
• Jacob Rodriguez, RBT
• Laura Rodriguez, APN
• Luzberto Rodriguez
• Maria Rodriguez
• Sonia Rojas, RBT
• Erin Rolland
• Jenna Marie Roller
• Abigail Rosa, LCAC
• Stephanie Nicole Rosado, PHARMD

• Physician Assistant in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.

Verify at the official NPI Registry.