NPIMap

Individual provider Active NPI

Michael Philip Rodriguez, MD

  • Internal Medicine Physician
  • Middle Island, NY
National Provider Identifier
1316915523
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
229069 Issued in NY
Practice address
35 Longwood Rd
Middle Island, NY 11953-2045
Phone
(631) 924-1000
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229069 NY Primary
Pediatrics Physician 208000000X 229069 NY

Addresses

Primary practice location

35 Longwood Rd
Middle Island, NY 11953-2045

Mailing address

15 Woodbury Rd
Hauppauge, NY 11788-4729
Phone (317) 933-5576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040501000291 NY Practitioner - General PracticePractitioner - Internal MedicinePractitioner - Pediatric Medicine 6901894880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pediatric Medicine
Education
State University of Ny Upstate Medical University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35 Longwood Rd
Middle Island, NY 11953-2045
Phone (631) 924-1000

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stony Brook Internists, University Faculty Practice Corporation Internal Medicine CurrentSince Nov 15, 2019 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation CurrentSince Nov 15, 2019 Accepting new patients
Just Kids Diagnostic and Treatment Center Inc CurrentSince Oct 15, 2020 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Michael Rodriguez, MD Medical Services, PC Internal Medicine CurrentSince Apr 27, 2025 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

35 Longwood Rd
Middle Island, NY 11953
Phone (631) 924-1000

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

676 County Road 39A
Southampton, NY 11968
Phone (631) 283-2070

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Philadelphia, PA 19195

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21444/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.rodriguez.1@21444.direct.athenahealth.com

Organizations & group practices 8

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 6

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1316915523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WOODBURY RD",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884729",
            "telephone_number": "317-933-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 LONGWOOD RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532045",
            "telephone_number": "631-924-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICHAEL",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229069",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "229069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Island, NY

Sources for this page

Verify at the official NPI Registry.