Individual provider Active NPI

Angel Luis Rodriguez, M.D.

  • Internal Medicine Physician
  • Eastchester, NY
National Provider Identifier
1356419634
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203049 Issued in NY
Practice address
685 White Plains Road
Eastchester, NY 10709
Phone
(914) 787-4100
Fax
(914) 787-4199
NPI assigned
Dec 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 203049 NY Primary

Addresses

Primary practice location

685 White Plains Road
Eastchester, NY 10709

Mailing address

685 White Plains Road
Eastchester, NY 10709
Phone (914) 787-4100

Other identifiers 2

IdentifierTypeStateIssuer
78628OtherNYEMPIRE BLUE CROSS BLUE SH
01771122MedicaidNY

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address rodrang@direct.nyp.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040506001778 NY Practitioner - Internal Medicine 2769471697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians

Practice addresses (Care Compare)

180 Marble Ave
Pleasantville, NY 10570-3424
Phone (914) 849-4100

Hospital & facility affiliations

  • Lawrence Home Care of Westchester Home health agency, White Plains, NY, CCN 337036
  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
  • Burke Rehabilitation Hospital Inpatient rehabilitation facility, White Plains, NY, CCN 333030
  • Methodist Home for Nursing and Rehabilitation Nursing home, Bronx, NY, CCN 335524

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203049NYMDInternal Medicine Physician

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC Internal Medicine CurrentSince Feb 25, 2025 Accepting new patients
Lawrence Medical Associates, PC Internal Medicine CurrentSince Mar 3, 2010 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Mar 3, 2010 Accepting new patients
Trustees of Columbia University in the City of New York Internal Medicine Past Accepting new patients
Methodist Church Home for the Aged in the City of New York Past Accepting new patients

Locations

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Eastchester, NY 10709
Phone (914) 787-4100

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

5141 Broadway
Rm 3
New York, NY 10034
Phone (212) 932-4533

5141 Broadway
Rm 2224B
New York, NY 10034
Phone (212) 932-4439

180 Marble Ave
Pleasantville, NY 10570
Phone (901) 769-7300

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rodrang@direct.weillcornell.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lawrence Home Care of WestchesterScarsdale, NY, CCN 337036 Home health agency Corporate Director Mar 1, 2012
Jansen Hospice and Palliative CareScarsdale, NY, CCN 331525 Hospice Corporate Director Mar 1, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 10

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": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1356419634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 WHITE PLAINS ROAD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "10709",
            "telephone_number": "914-787-4100",
            "fax_number": "914-787-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 WHITE PLAINS ROAD",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "10709",
            "telephone_number": "914-787-4100",
            "fax_number": "914-787-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "78628",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01771122",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "685 White Plains Road",
            "city": "Eastchester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "685 White Plains Road",
            "city": "Eastchester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rodrang@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "685 White Plains Road",
            "city": "Eastchester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eastchester, NY

Sources for this page

Verify at the official NPI Registry.