NPIMap

Individual provider Active NPI

Paul A Rodriguez, M.D.

  • Diagnostic Radiology Physician
  • Hastings, NE
National Provider Identifier
1477559292
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20398 Issued in NE
Practice address
715 N Saint Joseph Ave
Hastings, NE 68901-4451
Phone
(402) 461-5191
Fax
(402) 461-5088
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20398 NE Primary

Addresses

Primary practice location

715 N Saint Joseph Ave
Hastings, NE 68901-4451

Mailing address

PO Box 2176
Hastings, NE 68902-2176
Phone (402) 463-0404

Other identifiers 7

IdentifierTypeStateIssuer
101346OtherKSBCBS KANSAS
H00776OtherSTERLING OPTION ONE
CHILDRENS MERCYMedicaidKS
68901B012OtherTRICARE
06118OtherNEBCBS OF NEBRASKA
9641OtherNEMIDLANDS CHOICE
H007776OtherNECOVENTRY HEALTH NE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050513000631 NE Practitioner - Diagnostic Radiology 1557266053 Reassigns benefits to 4 organizations
I20240905000731 TX Practitioner - Diagnostic Radiology 1557266053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnebago Tribe of NebraskaGroup PAC ID 7113268640, 32 clinicians
Regional West Medical CenterGroup PAC ID 1759285885, 66 clinicians
North Platte Nebraska Hospital CorporationGroup PAC ID 6507856697, 237 clinicians
Hastings Radiology Associates PCGroup PAC ID 5890690390, 4 clinicians

Practice addresses (Care Compare)

225 Bluff St
Winnebago, NE 68071-9703
Phone (402) 878-3554

4021 Ave B
Scottsbluff, NE 69361-4602
Phone (308) 630-1111

601 W Leota St
Great Plains Health
North Platte, NE 69101-6525
Phone (308) 568-8000

715 N Saint Joseph Ave
Hastings, NE 68901-4451
Phone (402) 461-5191

Hospital & facility affiliations

  • Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032
  • Clara Barton Hospital Hospital, Hoisington, KS, CCN 171333
  • Smith County Memorial Hospital Hospital, Smith Center, KS, CCN 171377
  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • Ellsworth County Medical Center Hospital, Ellsworth, KS, CCN 171327

Merit-based Incentive Payment System (MIPS)

Final score
59.14 of 100Reported as individual
Quality
89.3
Improvement activities
0
Cost
78.06

Merit-based Incentive Payment System (MIPS)

Final score
97.36 of 100Reported as apm
Quality
90.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20398NEMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology of Grand Island, PC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Regional West Medical Center Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
North Platte Nebraska Hospital Corporation Diagnostic Radiology CurrentSince Sep 9, 2024 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jul 1, 2024 Accepting new patients
Winnebago Tribe of Nebraska CurrentSince Jul 1, 2024 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Hastings Imaging Center LLC Diagnostic Radiology Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients
Medical Imaging Associates PC Diagnostic Radiology Past Accepting new patients

Locations

527 N Diers Ave
Ste 3
Grand Island, NE 68803
Phone (308) 675-3211

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

2 W 42nd St
Ste 2600
Scottsbluff, NE 69361
Phone (308) 632-7322

2 W 42nd St
#2400
Scottsbluff, NE 69361
Phone (308) 632-4235

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 11

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1477559292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2176",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689022176",
            "telephone_number": "402-463-0404",
            "fax_number": "402-462-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014451",
            "telephone_number": "402-461-5191",
            "fax_number": "402-461-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "20398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KANSAS",
            "identifier": "101346",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION ONE",
            "identifier": "H00776",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CHILDRENS MERCY",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "68901B012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "06118",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "9641",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH NE",
            "identifier": "H007776",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.