Active NPI
David Jose Rodriguez, M.D.
- Interventional Cardiology Physician
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 4301083605
- Practice address
- 24211 Little Mack Ave
Saint Clair Shores, MI 48080-1151 - Phone
- (586) 498-0440
- Fax
- (586) 498-0401
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 4301083605 | MI | Primary |
| Internal Medicine Physician | 207R00000X | 4301083605 | MI | |
| Hospitalist Physician | 208M00000X | 4301083605 | MI |
Addresses
Primary practice location
24211 Little Mack Ave
Saint Clair Shores, MI 48080-1151
Mailing address
1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (586) 498-0440
Other practice location 1
22201 Moross Rd Ste 50
Detroit, MI 48236-2166
Phone (313) 343-7774
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306963335 | Other | MI | NPI # |
| 4985319-10 | Medicaid | MI | |
| 70-0-F32947-0 | Other | MI | BCBS CPIN # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drodriguez14920@direct.beaumont.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Michigan State University College of Human Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011
24211 Little Mack Ave
Saint Clair Shores, MI 48080-1151
Phone (810) 498-0440
Hospital & facility affiliations
- Henry Ford Health St John Hospital
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital, Troy
- Henry Ford Health Warren Hospital
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.31 of 100
- Quality
- 66.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Eastlake Cardiovascular PC | Cardiovascular Disease | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb Oakland Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Pathology Specialists of Southeast Michigan PC | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Internal Medicine | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Internal Medicine | Current | Accepting new patients |
Locations
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
22201 Moross Rd
Ste 50
Grosse Pointe Woods, MI 48236
Phone (313) 343-7774
22201 Moross Rd
Grosse Pointe Woods, MI 48236
Phone (313) 343-3481
46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
26850 Providence Pkwy
Ste 205
Novi, MI 48374
Phone (248) 465-3144
24211 Little Mack Ave
St Clr Shores, MI 48080
Phone (586) 498-0440
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
Interoperability endpoints
- drodriguez250074@direct.hfhs.org
- drodriguez14920@direct.beaumont.edu
Organizations & group practices 10
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.
-
- Cardiovascular Disease Physician
- St Clair Shores, MI
- NPI 1982657474
-
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Cardiovascular Disease Physician
- Warren, MI
- NPI 1518124320
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
-
- Social Worker
- Warren, MI
- NPI 1548609761
-
- Cardiovascular Disease Physician
- Southfield, MI
- NPI 1225093776
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1285893727
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1912965088
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1023100500
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1306963335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 3A",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "586-498-0440",
"fax_number": "586-498-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24211 LITTLE MACK AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801151",
"telephone_number": "586-498-0440",
"fax_number": "586-498-0401"
}
],
"practiceLocations": [
{
"address_1": "22201 Moross Rd Ste 50",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482362166",
"country_code": "US",
"telephone_number": "313-343-7774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DAVID",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MI",
"license": "4301083605",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301083605",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MI",
"license": "4301083605",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI #",
"identifier": "1306963335",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4985319-10",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CPIN #",
"identifier": "70-0-F32947-0",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drodriguez14920@direct.beaumont.edu",
"affiliation": "N",
"address_1": "24211 Little Mack Ave",
"city": "Saint Clair Shores",
"state": "MI",
"country_code": "US",
"postal_code": "480801151",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.