Gerardo David Rodriguez, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

6080 Issued in NV

Practice address

1190 Ryland St
Reno, NV 89502-1702

Phone

(775) 322-7272

Fax

(772) 322-4789

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Neurology

Education

Rutgers New Jersey Medical School, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3708/brand/1/csg/1/fhir/r4
• Direct secure messaging: grodriguezgomez234893@hisp.ehr.sutterhealth.org
• Direct secure messaging: grodriguezgomez1053@direct.renown.org

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.

• Community Care Services LLC

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1720031768
  Medicare reassignment Care Compare group NPD
• Gerardo D Rodriguez-Gomez, a Professional Corporation

  • Neurology with Special Qualifications in Child Neurology Physician
  • Reno, NV
  • NPI 1598918302
  NPD Authorized official
• Community Care Services LLC

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1053272989
  NPD
• Community Care Services LLC

  • Family Medicine Physician
  • Fernley, NV
  • NPI 1952872582
  NPD
• Community Care Services LLC

  • Obstetrics & Gynecology Physician
  • Reno, NV
  • NPI 1982088274
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1356437339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 RYLAND ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021702",
            "telephone_number": "775-322-7272",
            "fax_number": "772-322-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 RYLAND ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021702",
            "telephone_number": "775-322-7272",
            "fax_number": "772-322-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GERARDO",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NV",
            "license": "6080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CC9393",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016388",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Rodriguez
• Brandy B Rodriguez
• Brianna L Rodriguez
• Corinna May Rodriguez, M.S., CCC-SLP
• David Rodriguez Sr.
• Jasmine Rodriguez
• Javier Alexander Rodriguez, MD
• Margaret Rodriguez, DDS
• Maria Rodriguez
• Marisa Rodriguez, FNP

• Neurology with Special Qualifications in Child Neurology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.