Active NPI
Marie Rodriguez, MD
- Internal Medicine Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME77642
- Practice address
- 931 W Oak St
Ste 103
Kissimmee, FL 34741-4973 - Phone
- (407) 931-0444
- Fax
- (407) 962-4446
- NPI assigned
- Jul 19, 2006
- Last updated
- Jul 12, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME77642 | FL | Primary |
Addresses
Primary practice location
931 W Oak St
Ste 103
Kissimmee, FL 34741-4973
Mailing address
9753 S Orange Blossom TRL
Ste 102
Orlando, FL 32837-7841
Phone (407) 412-5985
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00669495 | Other | FL | RR MEDICARE |
| 271508200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, ID, MT, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME77642 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia, LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Scltdi JV, LLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| American Health Imaging of Georgia LLC | Current | Accepting new patients | |
| Florida Medical Associates LLC | Past | Accepting new patients | |
| Primary Medical Care R Ayala MD PA | Past | Accepting new patients |
Locations
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420
Organizations & group practices 14
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.
-
dba American Health Imaging of Newnan LLC
- Radiology Clinic/Center
- Newnan, GA
- NPI 1144206764
-
dba American Health Imaging of Canton LLC
- Radiology Clinic/Center
- Canton, GA
- NPI 1780937508
-
dba American Health Imaging of Augusta LLC
- Radiology Clinic/Center
- Augusta, GA
- NPI 1790113082
-
dba American Health Imaging of Cumming, LLC
- Radiology Clinic/Center
- Cumming, GA
- NPI 1346606506
-
dba American Health Imaging of Albany
- Radiology Clinic/Center
- Albany, GA
- NPI 1366102998
-
dba Touchstone Imaging Lafayette
- Physiological Laboratory
- Lafayette, CO
- NPI 1184021099
-
dba Touchstone Imaging Dry Creek
- Physiological Laboratory
- Englewood, CO
- NPI 1407253982
-
dba Touchstone Imaging Castle Rock
- Physiological Laboratory
- Castle Rock, CO
- NPI 1457888398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1144249954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9753 S ORANGE BLOSSOM TRL",
"address_2": "STE 102",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328377841",
"telephone_number": "407-412-5985",
"fax_number": "407-412-5987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 W OAK ST",
"address_2": "STE 103",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414973",
"telephone_number": "407-931-0444",
"fax_number": "407-962-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME77642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00669495",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271508200",
"state": "FL"
}
],
"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 Jul 12, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.