NPIMap

Individual provider Active NPI

Jonathan Rodriguez, MD

  • Cardiovascular Disease Physician
  • Geneva, NY
National Provider Identifier
1356603609
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
282717 Issued in NY
Practice address
200 North St Ste 304
Geneva, NY 14456-1561
Phone
(315) 787-4204
NPI assigned
Jun 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 282717 NY Primary

Addresses

Primary practice location

200 North St Ste 304
Geneva, NY 14456-1561

Mailing address

200 North St Ste 304
Geneva, NY 14456-1561
Phone (315) 787-4204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190612001654 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941533640 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva General Hospital, IncGroup PAC ID 7810809407, shared by 5 NPIs, 88 clinicians
Soldiers and Sailors Memorial HospitalGroup PAC ID 0446164255, shared by 8 NPIs, 35 clinicians

Practice addresses (Care Compare)

196 N St
Geneva, NY 14456-1651
Phone (315) 787-4533

200 N St
Suite 304
Geneva, NY 14456-1561
Phone (315) 787-4204

418 N Main St
Penn Yan, NY 14527-1070
Phone (315) 531-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Geneva General Hospital, Inc. Cardiovascular Disease Current Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Jul 1, 2019 Accepting new patients
Geneva General Hospital CurrentSince Jul 1, 2019 Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
Geneva General Hospital, Inc CurrentSince Jul 1, 2019 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Jul 1, 2019 Accepting new patients

Locations

50 Millard St
Dundee, NY 14837
Phone (607) 234-7881

196 North St
Geneva, NY 14456
Phone (315) 787-4156

200 North St
Ste 304
Geneva, NY 14456
Phone (315) 607-8915

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

1991 Balsley Rd
Seneca Falls, NY 13148
Phone (315) 539-0237

Interoperability endpoints

  • Direct secure messaging: j.rodriguez@flhmedical.medentdirect.com

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 8

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1356603609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTH ST STE 304",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "315-787-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH ST STE 304",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "315-787-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "282717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.