NPIMap

Individual provider Active NPI

Luke J Rodriguez, MD

  • Surgery Physician
  • Pottsville, PA
National Provider Identifier
1497285142
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD482480 Issued in PA
Practice address
171 Red Horse Rd
Pottsville, PA 17901-9119
Phone
(104) 027-8846
NPI assigned
Jun 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT214071 PA
Surgery Physician 208600000X MD482480 PA Primary

Addresses

Primary practice location

171 Red Horse Rd
Pottsville, PA 17901-9119

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622

Other practice location 1

1240 S Cedar Crest Blvd Ste 410
Allentown, PA 18103-6218
Phone (610) 402-7884

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230913000547 PA Practitioner - General Surgery 9537430640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1240 S Cedar Crest Blvd
205 LVPG Surgical Oncology
Allentown, PA 18103-6218
Phone (610) 402-7884

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Lehigh Valley Hospital - Hazleton Hospital, Hazleton, PA, CCN 390185
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy52
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 2, 2023 Accepting new patients
Lehigh Valley Physician Group Surgery Current Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Aug 30, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 2, 2023 Accepting new patients
Schuylkill Health System Medical Group, Inc. Surgery CurrentSince Aug 30, 2023 Accepting new patients

Locations

1240 S Cedar Crest Blvd
Ste 410
Allentown, PA 18103
Phone (610) 402-5200

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1240 S Cedar Crest Blvd
Ste 205
Allentown, PA 18103
Phone (610) 402-7884

2100 Mack Blvd
Fl 4
Allentown, PA 18103

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

171 Red Horse Rd
Pottsville, PA 17901
Phone (570) 628-2229

Interoperability endpoints

  • Direct secure messaging: lrodriguez139130@direct2.lvhn.org

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1497285142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RED HORSE RD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179019119",
            "telephone_number": "104-027-8846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 S Cedar Crest Blvd Ste 410",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036218",
            "country_code": "US",
            "telephone_number": "610-402-7884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUKE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT214071",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD482480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottsville, PA

Sources for this page

Verify at the official NPI Registry.