Individual provider Active NPI

Christina Elaine Rodriguez, MD

  • Maternal & Fetal Medicine Physician
  • Aurora, CO
National Provider Identifier
1255621165
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
128532 Issued in AK
Practice address
1635 Aurora CT
Aurora, CO 80045-2541
Phone
(720) 848-0000
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 128532 AK Primary
Maternal & Fetal Medicine Physician 207VM0101X DR.0054917 CO

Addresses

Primary practice location

1635 Aurora CT
Aurora, CO 80045-2541

Mailing address

4441 Diplomacy Dr
Ste 400
Anchorage, AK 99508-5910
Phone (352) 318-7986

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address crodriguez949828@ak.providencedirect.org
Direct Messaging Address crodriguez949828@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180815001155 TX Practitioner - Obstetrics/Gynecology 7416189139 Reassigns benefits to 2 organizations
I20210820001739 AK Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 7416189139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128532AKMDMaternal & Fetal Medicine Physician
DR.0054917COMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation Current Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 26, 2018 Accepting new patients
Providence Health & Services- Washington CurrentSince Sep 1, 2021 Accepting new patients
Southcentral Foundation CurrentSince May 1, 2024 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

4441 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-2000

3340 Providence Dr
Ste A567
Anchorage, AK 99508
Phone (907) 212-2321

4441 Diplomacy Dr
Ste 400
Anchorage, AK 99508
Phone (907) 729-3100

3831 Piper St
Ste SLL020
Anchorage, AK 99508
Phone (907) 212-3470

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

Interoperability endpoints

  • Direct secure messaging: crodriguez949828@ak.providencedirect.org

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1255621165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 DIPLOMACY DR",
            "address_2": "STE 400",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085910",
            "telephone_number": "352-318-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 AURORA CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800452541",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CHRISTINA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AK",
            "license": "128532",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CO",
            "license": "DR.0054917",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crodriguez949828@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3831 Piper St Ste Sll 020",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995084699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crodriguez949828@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "3200 Providence Dr",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995084615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.