Juan Vitelio Rodriguez, MD

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

T9025 Issued in TX

Practice address

20 York St
New Haven, CT 06510-3220

Phone

(203) 688-4242

NPI assigned

Apr 15, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Pathology

Education

Stanford University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Childrens HospitalGroup PAC ID 0244298446, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Childrens Hospital Hospital, Houston, TX, CCN 453304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jrodriguez449036@prddirect.texaschildrens.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.

• Texas Childrens Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1487600334
  Medicare reassignment Care Compare group NPD
• Texas Childrens Hospital

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
  • NPI 1285403642
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Texas Children'S Hospital

  • Children's Hospital
  • Houston, TX
  • NPI 1477643690
  Care Compare affiliation

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1407242548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12436 N SANDBY GREEN DR",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856538970",
            "telephone_number": "619-709-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "VITELIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-15",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "TX",
            "license": "T9025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Rodriguez, M.S.N.
• Eddie Rodriguez, MD
• Edgardo Rodriguez
• Ingrid Vanessa Rodriguez
• Jennifer Rodriguez, BS
• Kiefer Marlon Rodriguez
• Leonel A Rodriguez, MD
• Leticia Rodriguez, LCSW, MSW
• Lyly E Rodriguez, DDS
• Maria Alexandra Rodriguez, MD

• Clinical Pathology Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Pathology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.