Individual provider Active NPI

Rodney David Rodrigo, M.D.

  • Interventional Pain Medicine Physician
  • Tampa, FL
National Provider Identifier
1487861498
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME104971 Issued in FL
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

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ME104971OtherFLFLORIDA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901002848 FL Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7315085933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
Education
Loma Linda University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Spine and Joint LLCGroup PAC ID 6406164011, 9 clinicians

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

LicenseStateTypeSpecialty
ME104971FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Spine and Joint LLC Interventional Pain Medicine CurrentSince Jun 17, 2015 Accepting new patients
Vigafra PLLC Interventional Pain Medicine CurrentSince Jul 28, 2015 Accepting new patients
All Heart Home Health Care Current Accepting new patients
Orthomed Pain & Sports Medicine PastSince Sep 10, 2012 Accepting new patients
Thomas Medrick Sweeney II MD PHD PLLC PastSince Mar 25, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.