Individual provider Active NPI

Maria Rodriguez, PA

  • Physician Assistant
  • Brandon, FL
National Provider Identifier
1275901142
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108959 Issued in FL
Practice address
270 S Moon Ave
Brandon, FL 33511-5711
Phone
(813) 571-9988
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9108959 FL
Physician Assistant 363A00000X PA9108959 FL Primary

Addresses

Primary practice location

270 S Moon Ave
Brandon, FL 33511-5711

Mailing address

270 S Moon Ave
Brandon, FL 33511-5711
Phone (813) 571-9988

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119000942 FL Practitioner - Physician Assistant 4486954674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 571-9988

6006 49TH St N
Saint Petersburg, FL 33709-2149

Hospital & facility affiliations

  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
73.64
Promoting interoperability
99
Improvement activities
40
Cost
68.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108959FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants Past Accepting new patients

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.

Hospital & facility affiliations 1

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1275901142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 S MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115711",
            "telephone_number": "813-571-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115711",
            "telephone_number": "813-571-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9108959",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.