Active NPI
Rodney David Rodrigo, M.D.
- Interventional Pain Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME104971
- Practice address
- 5100 W Kennedy Blvd Ste 280
Tampa, FL 33609-1892 - Phone
- (813) 331-4465
- Fax
- (813) 280-4855
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME104971 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME104971 | FL | Primary |
Addresses
Primary practice location
5100 W Kennedy Blvd Ste 280
Tampa, FL 33609-1892
Mailing address
10730 Ketchum Valley Dr
Riverview, FL 33579-7185
Phone (813) 331-4465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME104971 | Other | FL | FLORIDA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Loma Linda University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10726 Ketchum Valley Dr
Riverview, FL 33579-7185
Phone (813) 331-4465
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME104971 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Spine and Joint LLC | Interventional Pain Medicine | Current | Accepting new patients |
| Vigafra PLLC | Interventional Pain Medicine | Current | Accepting new patients |
| All Heart Home Health Care | Current | Accepting new patients | |
| Orthomed Pain & Sports Medicine | Past | Accepting new patients | |
| Thomas Medrick Sweeney II MD PHD PLLC | Past | Accepting new patients |
Locations
200 3rd Ave W
Ste 170
Bradenton, FL 34205
Phone (941) 782-5434
22953 State Road 54
Lutz, FL 33549
13543 State Road 54
Ste B
Odessa, FL 33556
Phone (813) 331-4465
7800 66th St N
Ste 305
Pinellas Park, FL 33781
Phone (813) 331-4465
6231 66th St N
Pinellas Park, FL 33781
Phone (727) 526-2771
10730 Ketchum Valley Dr
Riverview, FL 33579
Phone (813) 331-4465
10726 Ketchum Valley Dr
Riverview, FL 33579
Phone (813) 331-4465
2727 W Mlk Blvd
Ste 200
Tampa, FL 33607
Phone (813) 694-5824
5100 W Kennedy Blvd
Ste 280
Tampa, FL 33609
Phone (813) 331-4465
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- rodney.rodrigo@ipssf.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Interventional Pain Medicine Physician
- Riverview, FL
- NPI 1205249026
-
- Interventional Pain Medicine Physician
- Bradenton, FL
- NPI 1316154958
-
- Home Health Agency
- Fort Myers, FL
- NPI 1558601559
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Venice, FL
- NPI 1861761256
-
- Orthopaedic Surgery Physician
- Sarasota, FL
- NPI 1811458425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1487861498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10730 KETCHUM VALLEY DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797185",
"telephone_number": "813-331-4465",
"fax_number": "813-280-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W KENNEDY BLVD STE 280",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091892",
"telephone_number": "813-331-4465",
"fax_number": "813-280-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGO",
"first_name": "RODNEY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "ME104971",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME104971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "ME104971",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.