Individual provider Active NPI

Katia Rodriguez, MD

  • General Practice Physician
  • Hialeah, FL
National Provider Identifier
1184267239
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1192 Issued in FL
Practice address
215 W 49TH St
Hialeah, FL 33012-3713
Phone
(305) 557-8444
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1192 FL Primary

Addresses

Primary practice location

215 W 49TH St
Hialeah, FL 33012-3713

Mailing address

3557 SW 175TH Ave
Miramar, FL 33029-1619
Phone (954) 825-3945

Other practice location 1

2150 W 76th St Ste 110
Hialeah, FL 33016-1884
Phone (305) 821-9791

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20191203002590 FL Practitioner - General Practice 0244663334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

215 W 49TH St
Hialeah, FL 33012-3713
Phone (305) 557-8444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN1192FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Value Healthcare LLC CurrentSince Jun 22, 2021 Accepting new patients
Best Value Healthcare LLC CurrentSince Oct 28, 2019 Accepting new patients

Locations

2150 W 76th St
Ste 110
Hialeah, FL 33016
Phone (305) 821-9791

215 W 49th St
Hialeah, FL 33012
Phone (305) 557-8444

1501 Presidential Way
Ste 12
West Palm Beach, FL 33401
Phone (407) 471-9484

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1184267239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 SW 175TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330291619",
            "telephone_number": "954-825-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123713",
            "telephone_number": "305-557-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 W 76th St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161884",
            "country_code": "US",
            "telephone_number": "305-821-9791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KATIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.