Individual provider Active NPI

Guadalupe Mercedes Rodriguez Palacios, MD

  • Gynecology Physician
  • Fort Myers, FL
National Provider Identifier
1326276304
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME112444 Issued in FL
Practice address
9800 S Healthpark Dr Ste 205
Fort Myers, FL 33908-3630
Phone
(239) 343-7130
Fax
(239) 343-7185
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A106582 CA
Gynecology Physician 207VG0400X A106582 CA
Gynecology Physician 207VG0400X ME112444 FL Primary

Addresses

Primary practice location

9800 S Healthpark Dr Ste 205
Fort Myers, FL 33908-3630

Mailing address

17276 Hidden Estates Cir
Fort Myers, FL 33908-5053
Phone (917) 658-3942

Other practice location 1

113 W Savidge St
Spring Lake, MI 49456-1715
Phone (616) 502-1484

Other identifiers 1

IdentifierTypeStateIssuer
024419100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address grodriguez187507@Direct.leememorial.org Lee Memorial Health System

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130214000484 FL Practitioner - Obstetrics/Gynecology 8820134075 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.26
Promoting interoperability
100
Improvement activities
40
Cost
78.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106582CAMDGynecology Physician
ME112444FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 27, 2023 Accepting new patients
SMH Physician Services Inc Obstetrics & Gynecology CurrentSince Sep 30, 2024 Accepting new patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Feb 1, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 27, 2023 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
North Brevard Medical Support, Inc CurrentSince Dec 9, 2023 Accepting new patients
Mount Sinai Mental Health LLC Past Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

250 Harrison St
Titusville, FL 32780
Phone (321) 268-6868

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

Interoperability endpoints

  • Direct secure messaging: grodriguez187507@direct.leememorial.org

Organizations & group practices 7

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1326276304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17276 HIDDEN ESTATES CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339085053",
            "telephone_number": "917-658-3942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 S HEALTHPARK DR STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083630",
            "telephone_number": "239-343-7130",
            "fax_number": "239-343-7185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 W Savidge St",
            "address_purpose": "LOCATION",
            "city": "Spring Lake",
            "state": "MI",
            "postal_code": "494561715",
            "country_code": "US",
            "telephone_number": "616-502-1484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ PALACIOS",
        "first_name": "GUADALUPE",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A106582",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A106582",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME112444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024419100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grodriguez187507@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.