Individual provider Active NPI

Alberto J Rodriguez, M.D.

  • Family Medicine Physician
  • West Hartford, CT
National Provider Identifier
1316967037
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26403 Issued in CT
Practice address
345 N Main St Ste 112
West Hartford, CT 06117-2508
Phone
(860) 296-4022
Fax
(860) 236-3002
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26403 CT Primary

Addresses

Primary practice location

345 N Main St Ste 112
West Hartford, CT 06117-2508

Mailing address

345 N Main St Ste 112
West Hartford, CT 06117-2508
Phone (860) 296-4022

Other identifiers 1

IdentifierTypeStateIssuer
001264035MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arodriguez16717@direct.stfranciscare.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040826000578 CT Practitioner - Family Practice 9830164623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Practice addresses (Care Compare)

345 N Main St
Suite 112
West Hartford, CT 06117-2508
Phone (860) 296-4022

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare, PC CurrentSince May 1, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 31, 2015 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince May 1, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Aug 31, 2015 Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

342 N Main St
Ste 350
West Hartford, CT 06117
Phone (860) 296-4022

345 N Main St
Ste 112
West Hartford, CT 06117
Phone (860) 236-3000

345 N Main St
Ste 245
West Hartford, CT 06117
Phone (860) 236-3000

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • Direct secure messaging: alberto.rodriguez.1@31712.direct.athenahealth.com

Organizations & group practices 4

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1316967037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST STE 112",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172508",
            "telephone_number": "860-296-4022",
            "fax_number": "860-772-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST STE 112",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172508",
            "telephone_number": "860-296-4022",
            "fax_number": "860-236-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALBERTO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "26403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001264035",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arodriguez16717@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "Prime Healthcare Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "345 N Main St Ste 112",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061172508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.