Individual provider Active NPI

Giovanni Rodriguez, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1174021893
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017013458 Issued in IL
Practice address
1349 N Western Ave
Chicago, IL 60622-8316
Phone
(773) 384-8584
Fax
(773) 384-8338
NPI assigned
Jan 29, 2018
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.016539 IL
Family Nurse Practitioner 363LF0000X 2017013458 IL Primary

Addresses

Primary practice location

1349 N Western Ave
Chicago, IL 60622-8316

Mailing address

1349 N Western Ave
Chicago, IL 60622-8316
Phone (773) 384-8584

Other practice location 1

840 W Irving Park Rd Ste 201
Chicago, IL 60613-3011
Phone (773) 878-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20180502000932 IL Practitioner - Nurse Practitioner 3577827344 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2017013458ILMDFamily Nurse Practitioner
209.016539ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cam Medical Group S.C. CurrentSince Mar 15, 2025 Accepting new patients

Locations

1945 W Wilson Ave
Ste 5110
Chicago, IL 60640
Phone (773) 878-6600

840 W Irving Park Rd
Ste 201
Chicago, IL 60613
Phone (773) 878-6600

Interoperability endpoints

  • Direct secure messaging: giovanni.rodriguez.1@8544.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8544/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1174021893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228316",
            "telephone_number": "773-384-8584",
            "fax_number": "866-777-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228316",
            "telephone_number": "773-384-8584",
            "fax_number": "773-384-8338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 W Irving Park Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606133011",
            "country_code": "US",
            "telephone_number": "773-878-6600",
            "fax_number": "866-777-2763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GIOVANNI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-29",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016539",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2017013458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.