Individual provider Active NPI

Idalgis Elias Rodriguez, MSN-FNP-BC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1356214613
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
289258 Issued in AZ
Practice address
13402 N 32ND St
Phoenix, AZ 85032-6047
Phone
(602) 569-3999
NPI assigned
Sep 24, 2025
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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 289258 AZ Primary

Addresses

Primary practice location

13402 N 32ND St
Phoenix, AZ 85032-6047

Mailing address

6725 W Luke Ave
Glendale, AZ 85303-5413
Phone (786) 597-7548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20251226001490 AZ Practitioner - Nurse Practitioner 3173019320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica la Familia PCGroup PAC ID 4082694781, 38 clinicians

Practice addresses (Care Compare)

13402 N 32ND St
Suite 5
Phoenix, AZ 85032-6047
Phone (602) 569-3999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
289258AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica la Familia, PC Family Medicine CurrentSince Nov 5, 2025 Accepting new patients
Desert Kidney Associates PLC Past Accepting new patients

Locations

301 E Cottonwood Ln
Ste 1
Casa Grande, AZ 85122
Phone (520) 421-7100

7734 N 59th Ave
Glendale, AZ 85301
Phone (602) 371-2515

13402 N 32nd St
Ste 5
Phoenix, AZ 85032
Phone (623) 931-2444

1533 E Willetta St
Phoenix, AZ 85006
Phone (602) 606-7653

13402 N 32nd St
Phoenix, AZ 85032

1315 W Southern Ave
Tempe, AZ 85282
Phone (480) 545-1100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1356214613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 W LUKE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853035413",
            "telephone_number": "786-597-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13402 N 32ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326047",
            "telephone_number": "602-569-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS RODRIGUEZ",
        "first_name": "IDALGIS",
        "credential": "MSN-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "289258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.