Individual provider Active NPI

Eduardo B Rodriguez, P.A.C

  • Surgical Physician Assistant
  • Miami, FL
National Provider Identifier
1316170053
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9105109 Issued in FL
Practice address
15955 SW 96TH St Ste 401
Miami, FL 33196-1273
Phone
(786) 467-3430
Fax
(786) 533-9695
NPI assigned
Aug 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9105109 FL Primary

Addresses

Primary practice location

15955 SW 96TH St Ste 401
Miami, FL 33196-1273

Mailing address

PO Box 100905
Atlanta, GA 30384-0905
Phone (786) 467-3430

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
I20091105000028 FL Practitioner - Physician Assistant 6204974611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 University Dr
Coral Gables, FL 33146-2008
Phone (786) 308-3401

6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000

8940 N Kendall Dr
Suite 602E
Miami, FL 33176-2177
Phone (786) 596-8040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
72.08
Promoting interoperability
99
Improvement activities
40
Cost
74.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Jun 10, 2013 Accepting new patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Jun 10, 2013 Accepting new patients
Arturo Corces MD PA PastSince Oct 1, 2023 Accepting new patients

Locations

15955 SW 96th St
Ste 401
Miami, FL 33196
Phone (786) 467-3430

8940 N Kendall Dr
Ste 602E
Miami, FL 33176
Phone (305) 598-3227

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: eduardobr@cerner.directbaptisthealth.com

Organizations & group practices 3

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 3

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1316170053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100905",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840905",
            "telephone_number": "786-467-3430",
            "fax_number": "786-533-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 SW 96TH ST STE 401",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961273",
            "telephone_number": "786-467-3430",
            "fax_number": "786-533-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDUARDO",
        "middle_name": "B",
        "credential": "P.A.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.