Emilio Rodriguez-Peris, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD10391 Issued in RI

Practice address

655 Broad Street
Suite 201
Providence, RI 02907

Phone

(401) 383-6748

NPI assigned

Oct 4, 2006

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

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 1

Specialty

Internal Medicine

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Wellness Connect Go Beyond Medicine LLCGroup PAC ID 7517381312, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emilio.rodriguez-peris.1@22477.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22477/brand/1/csg/1/fhir/r4

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.

• Wellness Connect Go Beyond Medicine, LLC

  • Family Medicine Physician
  • Providence, RI
  • NPI 1487203303

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Peris Medical Corporation

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1295952802
  Authorized official Same address or phone

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1174619878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071444",
            "telephone_number": "401-226-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 BROAD STREET",
            "address_2": "SUITE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02907",
            "telephone_number": "401-383-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ-PERIS",
        "first_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD 10391",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD10391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ER48067",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Rodrigues, FNP-BC
• Luis Rodrigues, LCSW
• Marissa Rodrigues, LMHC
• Tara Rodrigues, PA-C
• Joan Manuel Rodriguez Taveras, MD
• Alicia V Rodriguez, LICSW
• Christian Rodriguez, MD
• Diane R. Rodriguez, LMHC
• Elizabeth Rodriguez, MT
• Enrique Xaviel Rodriguez

• Internal Medicine Physician in Providence, RI
• Providers in Providence, RI by specialty
• Internal Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.