NPIMap

Individual provider Active NPI

Rodrigo Andres Rodriguez Grazioso, M.D.

  • Trauma Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1174919237
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
63088 Issued in TN
Practice address
3131 La Canada St Ste 217
Las Vegas, NV 89169-2579
Phone
(702) 369-7152
Fax
(702) 369-7153
NPI assigned
Apr 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 63088 TN
Student in an Organized Health Care Education/Training Program 390200000X RS2015-0337 NM
Trauma Surgery Physician 2086S0127X 63088 TN Primary

Addresses

Primary practice location

3131 La Canada St Ste 217
Las Vegas, NV 89169-2579

Mailing address

3131 La Canada St Ste 217
Las Vegas, NV 89169-2579

Other names 1

  • Rodrigo Rodriguez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221209001031 NV Practitioner - General Surgery 4789997958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Surgical Associates Fisher PLLCGroup PAC ID 3375671803, 7 clinicians

Practice addresses (Care Compare)

3131 La Canada St
Suite 217
Las Vegas, NV 89169-2579
Phone (702) 369-7152

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63088TNMDTrauma Surgery Physician
RS2015-0337NMMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Surgical Associates Fisher PLLC Surgery CurrentSince Dec 1, 2022 Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients

Locations

3131 La Canada St
Ste 217
Las Vegas, NV 89169
Phone (702) 369-7152

3196 S Maryland Pkwy
Ste 101A
Las Vegas, NV 89109
Phone (702) 369-7152

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHGHAD/Endpoint/DHGHAD

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1174919237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692579",
            "telephone_number": "702-369-7152",
            "fax_number": "702-369-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GRAZIOSO",
        "first_name": "RODRIGO",
        "middle_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "63088",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": "RS2015-0337",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TN",
            "license": "63088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RODRIGO",
            "last_name": "RODRIGUEZ",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.