Active NPI
Evan M Rodriguez, MD
- Anesthesiology Physician
- Rhinebeck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 267963
- Practice address
- 6511 Springbrook Ave
Rhinebeck, NY 12572 - Phone
- (845) 867-3001
- NPI assigned
- May 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 267963 | NY | Primary |
Addresses
Primary practice location
6511 Springbrook Ave
Rhinebeck, NY 12572
Mailing address
PO Box 551420
Fort Lauderdale, FL 33355-1420
Phone (866) 507-5244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03627410 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Albany Medical College of Union University, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (865) 546-8040
Hospital & facility affiliations
- Parkridge Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 267963 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Group of the Hudson Valley P.C. | Current | Accepting new patients | |
| Singular Anesthesia Services, PLLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Anesthesiology | Current | Accepting new patients |
| Premier Medical Group of the Hudson Valley, P.C. | Current | Accepting new patients |
Locations
1250 Waters Pl
Ste 1206
Bronx, NY 10461
Phone (718) 409-5454
55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136
105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251
6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368
2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387
941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Interoperability endpoints
- erodriguez@premiermedicalhv.medentdirect.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.
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
-
- Anesthesiology Physician
- Hartsdale, NY
- NPI 1881086718
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1104874684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399852800000",
"number": "1356576193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551420",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333551420",
"telephone_number": "866-507-5244",
"fax_number": "855-851-4405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6511 SPRINGBROOK AVE",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "12572",
"telephone_number": "845-867-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "EVAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-22",
"last_updated": "2014-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "267963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03627410",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rhinebeck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.