Individual provider Active NPI

Miguel De Jesus Rodriguez, MD

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1205815529
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME68746 Issued in FL
Practice address
8525 SW 92ND St
Suite C-10
Miami, FL 33156-7378
Phone
(305) 274-7800
Fax
(305) 270-1246
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME68746 FL
Gastroenterology Physician 207RG0100X ME68746 FL Primary

Addresses

Primary practice location

8525 SW 92ND St
Suite C-10
Miami, FL 33156-7378

Mailing address

8525 SW 92ND Street
Suite C-10
Miami, FL 33156-7378
Phone (305) 274-7800

Other identifiers 1

IdentifierTypeStateIssuer
378851200MedicaidFL

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
I20080915000442 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 9234204801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8525 SW 92 St
Suite C10
Miami, FL 33156-7398
Phone (305) 274-7800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy74
Upper gastrointestinal (GI) endoscopy for acid reflux120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME68746FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Gastroenterology Consultants, PA Gastroenterology CurrentSince Oct 1, 2000 Accepting new patients

Locations

975 Baptist Way
Ste 202
Homestead, FL 33033
Phone (786) 243-8444

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

8525 SW 92nd St
Ste C10
Miami, FL 33156
Phone (305) 274-7800

Interoperability endpoints

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

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.

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1205815529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 SW 92ND STREET",
            "address_2": "SUITE C-10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567378",
            "telephone_number": "305-274-7800",
            "fax_number": "305-270-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 SW 92ND ST",
            "address_2": "SUITE C-10",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567378",
            "telephone_number": "305-274-7800",
            "fax_number": "305-270-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MIGUEL",
        "middle_name": "DE JESUS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME68746",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME68746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378851200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.