Active NPI
Cesar B Rodriguez, M.D.
- Family Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD2015-0055
- Practice address
- 2929 Coors Blvd NW Ste 200
Albuquerque, NM 87120 - Phone
- (505) 839-2300
- Fax
- (505) 839-2303
- NPI assigned
- Mar 1, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2015-0055 | NM | Primary |
Addresses
Primary practice location
2929 Coors Blvd NW Ste 200
Albuquerque, NM 87120
Mailing address
PO Box 26028
Albuquerque, NM 87125-6028
Other practice location 1
13701 Encantado Rd NE
Albuquerque, NM 87123-2275
Phone (505) 237-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13701 Encantado Rd NE
Albuquerque, NM 87123-2275
Phone (505) 237-8700
5150 Journal Ctr Blvd NE
Albuquerque, NM 87109-5900
Phone (505) 262-7000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2015-0055 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optumcare New Mexico LLC | Family Medicine | Current | Accepting new patients |
| Optumcare Endoscopy Center New Mexico, LLC | Past | Accepting new patients |
Locations
2901 Transport St SE
Albuquerque, NM 87106
Phone (505) 262-7110
2929 Coors Blvd NW
Ste 200
Albuquerque, NM 87120
Phone (505) 839-2300
5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212
13701 Encantado Rd NE
Albuquerque, NM 87123
Phone (505) 237-8700
5400 Gibson Blvd SE
Albuquerque, NM 87108
Phone (505) 262-7174
Interoperability endpoints
- crodriguez119231@westdirect.optum.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1124053210
-
- Ambulatory Surgical Clinic/Center
- Albuquerque, NM
- NPI 1962685834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1124368055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26028",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 COORS BLVD NW STE 200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87120",
"telephone_number": "505-839-2300",
"fax_number": "505-839-2303"
}
],
"practiceLocations": [
{
"address_1": "13701 Encantado Rd NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871232275",
"country_code": "US",
"telephone_number": "505-237-8700",
"fax_number": "505-237-8703",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "CESAR",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-01",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2015-0055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.