Individual provider Active NPI

Carol Elizabeth Rodriguez, M.D

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1376939942
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
297579 Issued in NY
Practice address
1415 Portland Ave Ste 400
Rochester, NY 14621
Phone
(585) 922-4200
Fax
(585) 922-4922
NPI assigned
Apr 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 297579 NY Primary

Addresses

Primary practice location

1415 Portland Ave Ste 400
Rochester, NY 14621

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1900

Other practice location 1

1250 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2427

Other practice location 2

3750 Woodward Ave Ste 200A
Detroit, MI 48201-2007
Phone (313) 993-4032

Other practice location 3

222 Alexander St Ste 1100
Rochester, NY 14607-4005
Phone (585) 922-8585

Other practice location 4

309 Upper Falls Blvd
Rochester, NY 14605-2105
Phone (585) 922-0260

Other practice location 5

1331 E Victor Rd
Victor, NY 14564-9306
Phone (585) 498-2280

Other practice location 6

1415 Portland Ave Ste 400
Rochester, NY 14621
Phone (585) 922-4200

Other practice location 7

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 368-4020

Other practice location 8

2 Coulter Rd Ste 2660
Clifton Springs, NY 14432-1122
Phone (315) 462-1125

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
I20190702000303 NY Practitioner - Obstetrics/Gynecology 7618278755 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, shared by 32 NPIs, 2,809 clinicians

Practice addresses (Care Compare)

780 8TH Ave
New York, NY 10036-7000
Phone (212) 641-4500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clifton Springs Sanitarium Co CurrentSince Jul 1, 2019 Accepting new patients
Rochester General Hospital Obstetrics & Gynecology CurrentSince Jul 1, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 28, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 28, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Feb 1, 2022 Accepting new patients
Rochester General Hospital CurrentSince Jul 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 1, 2022 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Jul 1, 2019 Accepting new patients
Clifton Springs Sanitarium Company Past Accepting new patients
Mount Sinai Hospital Past Accepting new patients

Locations

2 Coulter Rd
Ste 2660
Clifton Springs, NY 14432
Phone (315) 210-6280

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551

55 E 34th St
New York, NY 10016
Phone (212) 252-6131

780 8th Ave
New York, NY 10036
Phone (212) 641-4000

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

1250 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2427

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

222 Alexander St
Ste 1100
Rochester, NY 14607
Phone (585) 922-8585

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1415 Portland Ave
Ste 400
Rochester, NY 14621
Phone (585) 922-4200

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

309 Upper Falls Blvd
Rochester, NY 14605
Phone (585) 922-0260

1331 E Victor Rd
Victor, NY 14564
Phone (585) 498-2280

Networks

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

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1376939942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 400",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-922-4200",
            "fax_number": "585-922-4922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131057",
            "country_code": "US",
            "telephone_number": "315-332-2427",
            "fax_number": "315-332-2324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3750 Woodward Ave Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012007",
            "country_code": "US",
            "telephone_number": "313-993-4032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Alexander St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146074005",
            "country_code": "US",
            "telephone_number": "585-922-8585",
            "fax_number": "585-922-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Upper Falls Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146052105",
            "country_code": "US",
            "telephone_number": "585-922-0260",
            "fax_number": "585-922-0245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 E Victor Rd",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145649306",
            "country_code": "US",
            "telephone_number": "585-498-2280",
            "fax_number": "585-742-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Portland Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14621",
            "country_code": "US",
            "telephone_number": "585-922-4200",
            "fax_number": "585-922-4922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264122",
            "country_code": "US",
            "telephone_number": "585-368-4020",
            "fax_number": "585-368-4019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd Ste 2660",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1125",
            "fax_number": "315-462-1494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "297579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.