Individual provider Active NPI

Rodrigo Estonilo, M.D.

  • Interventional Pain Medicine Physician
  • East Stroudsburg, PA
National Provider Identifier
1255342937
Registry record updated Mar 26, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Apr 18, 2013.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD042667L Issued in PA
Practice address
100 Eaglesmere Cir
Suite 200a
East Stroudsburg, PA 18301-3144
Phone
(570) 421-8772
Fax
(570) 421-8775
NPI assigned
Aug 10, 2006
Last updated
Mar 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD042667L PA
Interventional Pain Medicine Physician 208VP0014X MD042667L PA Primary

Addresses

Primary practice location

100 Eaglesmere Cir
Suite 200a
East Stroudsburg, PA 18301-3144

Mailing address

100 Eaglesmere Cir
Suite 200a
East Stroudsburg, PA 18301-3144
Phone (570) 421-8772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD042667LPAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Resolution, P.C. Past Accepting new patients

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, 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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1255342937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAGLESMERE CIR",
            "address_2": "SUITE 200A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013144",
            "telephone_number": "570-421-8772",
            "fax_number": "570-421-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EAGLESMERE CIR",
            "address_2": "SUITE 200A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183013144",
            "telephone_number": "570-421-8772",
            "fax_number": "570-421-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTONILO",
        "first_name": "RODRIGO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD042667L",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD042667L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.