Individual provider Active NPI

Austria Lubbett Rodriguez, M.D.

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1306843032
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME77161 Issued in FL
Practice address
15212 E Colonial Dr
Orlando, FL 32826-5518
Phone
(407) 380-1777
Fax
(407) 380-1766
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME77161 FL Primary

Addresses

Primary practice location

15212 E Colonial Dr
Orlando, FL 32826-5518

Mailing address

15212 East Colonial Drive
Orlando, FL 32826
Phone (407) 380-1777

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME77161FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timber Creek Pediatrics Inc Pediatrics CurrentSince Dec 24, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12001 Avalon Lake Dr
Ste L
Orlando, FL 32828
Phone (407) 658-6565

15212 E Colonial Dr
Orlando, FL 32826
Phone (407) 380-1777

Interoperability endpoints

  • Direct secure messaging: drrodriguez@tcp-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1306843032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15212 EAST COLONIAL DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32826",
            "telephone_number": "407-380-1777",
            "fax_number": "407-380-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15212 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328265518",
            "telephone_number": "407-380-1777",
            "fax_number": "407-380-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "AUSTRIA",
        "middle_name": "LUBBETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME77161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.