Individual provider Active NPI

Mark Anthony Rodriguez, M.D.

  • Psychiatry Physician
  • Aventura, FL
National Provider Identifier
1437382389
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME175114 Issued in FL
Practice address
2999 NE 191St St Ste 600
Aventura, FL 33180-3385
Phone
(786) 981-0640
Fax
(305) 677-8067
NPI assigned
Aug 26, 2009
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301093049 MI
Psychiatry Physician 2084P0800X ME175114 FL Primary
Psychiatry Physician 2084P0800X MD61156718 WA

Addresses

Primary practice location

2999 NE 191St St Ste 600
Aventura, FL 33180-3385

Mailing address

2999 NE 191St St Ste 600
Aventura, FL 33180-3385
Phone (786) 981-0640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, FL, MT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140908001419 AZ Practitioner - Psychiatry 6002035995 Reassigns benefits to 4 organizations
I20210408002661 WA Practitioner - PsychiatryPractitioner - Addiction Medicine 6002035995 Reassigns benefits to 1 organization
I20251209004494 FL Practitioner - Psychiatry 6002035995 Reassigns benefits to 1 organization
I20260622003630 MT Practitioner - Psychiatry 6002035995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turnwell Mental Health of South Florida PAGroup PAC ID 4082101514, 2 clinicians
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians

Practice addresses (Care Compare)

2999 NE 191St St
Suite 600
Aventura, FL 33180-3385
Phone (469) 290-3245

925 Seneca St
Seattle, WA 98101-2742
Phone (206) 223-6600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301093049MIMDInternal Medicine Physician
ME175114FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Oct 1, 2015 Accepting new patients
District Medical Group, Inc CurrentSince Oct 1, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Oct 1, 2022 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 1, 2014 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Turnwell Mental Health of South Florida, PA Psychiatry CurrentSince Aug 26, 2025 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Aug 1, 2014 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Nov 3, 2018 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Nov 3, 2018 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Oct 1, 2015 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients
Ascend Healthcare, PLLC PastSince Apr 24, 2021 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Banner Behavioral Health Hospital Past Accepting new patients

Locations

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

2999 NE 191st St
Ste 600
Aventura, FL 33180
Phone (469) 290-3245

33501 1st Way S
Federal Way, WA 98003
Phone (253) 838-2400

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

Interoperability endpoints

  • Direct secure messaging: mrodriguez248569@direct.valleywisehealth.org

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1437382389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST ST STE 600",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803385",
            "telephone_number": "786-981-0640",
            "fax_number": "305-677-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 NE 191ST ST STE 600",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803385",
            "telephone_number": "786-981-0640",
            "fax_number": "305-677-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301093049",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME175114",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61156718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.