NPIMap

Individual provider Active NPI

Manuel Damian Rodriguez, D.O.,M.S., M.P.H.

  • Infectious Disease Physician
  • Roswell, GA
National Provider Identifier
1376730408
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
69433 Issued in GA
Practice address
11660 Alpharetta Hwy
Suite 430
Roswell, GA 30076-4943
Phone
(770) 255-1069
Fax
(770) 255-1075
NPI assigned
Oct 2, 2007
Last updated
Apr 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 69433 GA Primary

Addresses

Primary practice location

11660 Alpharetta Hwy
Suite 430
Roswell, GA 30076-4943

Mailing address

11660 Alpharetta Hwy
Suite 430
Roswell, GA 30076-4943
Phone (770) 255-1069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20130716000310 GA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8921290107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Service of GeorgiaGroup PAC ID 3072564954, 10 clinicians

Practice addresses (Care Compare)

1100 Northside Forsyth Dr
Suite 250
Cumming, GA 30041-6021
Phone (678) 341-8035

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.87 of 100Reported as group
Quality
72.75
Promoting interoperability
100
Improvement activities
40
Cost
66.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Services of Georgia PC Infectious Disease CurrentSince Jul 1, 2013 Accepting new patients

Locations

1100 Northside Forsyth Dr
Ste 250
Cumming, GA 30041
Phone (678) 341-8035

1405 Haw Creek Cir E
Cumming, GA 30041

11660 Alpharetta Hwy
Ste 430
Roswell, GA 30076
Phone (770) 255-1069

Interoperability endpoints

  • Direct secure messaging: drrodriguez@idsga.medentdirect.com

Organizations & group practices 1

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.

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1376730408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY",
            "address_2": "SUITE 430",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764943",
            "telephone_number": "770-255-1069",
            "fax_number": "770-255-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY",
            "address_2": "SUITE 430",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764943",
            "telephone_number": "770-255-1069",
            "fax_number": "770-255-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MANUEL",
        "middle_name": "DAMIAN",
        "name_prefix": "Dr.",
        "credential": "D.O.,M.S., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "69433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.