Individual provider Active NPI

Emmanuel N Rodriguez, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1497856728
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
250792 Issued in NY
Practice address
165 E 83Rd St
4D
New York, NY 10028-2403
Phone
(646) 416-0744
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 250792 NY Primary

Addresses

Primary practice location

165 E 83Rd St
4D
New York, NY 10028-2403

Mailing address

325 E 64TH St Apt 309
New York, NY 10065-6770
Phone (347) 573-1019

Other identifiers 1

IdentifierTypeStateIssuer
34529800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040804000334 WI Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Infectious Disease 9830160704 Reassigns benefits to 1 organization
I20090609000332 NY Practitioner - Internal Medicine 9830160704 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LWH Medical PCGroup PAC ID 0941455976, 10 clinicians
Bronx Medical Practice PCGroup PAC ID 9739496100, 136 clinicians

Practice addresses (Care Compare)

1811 Hone Ave
Bronx, NY 10461-1406
Phone (516) 499-9016

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

Hospital & facility affiliations

  • Riverspring Chha / Elderserve Chha Home health agency, Bronx, NY, CCN 337276
  • Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441
  • M J H S Hospice and Palliative Care, Inc Hospice, New York, NY, CCN 331529
  • Workmens Circle Multicare Center Nursing home, Bronx, NY, CCN 335227
  • The Plaza Rehab and Nursing Center Nursing home, Bronx, NY, CCN 335462
  • Terence Cardinal Cooke Health Care Center Nursing home, New York, NY, CCN 335665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
250792NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Dec 29, 2017 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Dec 29, 2017 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Nov 26, 2018 Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Jun 8, 2024 Accepting new patients
Bronx Medical Practice P.C. Internal Medicine CurrentSince Jun 8, 2024 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Lwhmedical PC CurrentSince Jun 1, 2019 Accepting new patients
Gloversville Physician Medicine Services PC Hospitalist CurrentSince Oct 11, 2016 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Nov 26, 2018 Accepting new patients
Essen Medical Associates,PC CurrentSince Jun 8, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 8, 2024 Accepting new patients
Aurora Medical Center Bay Area, Inc Past Accepting new patients
Tcprnc, LLC Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Terence Cardinal Cooke Health Care Center Past Accepting new patients
New York Society for the Relief of the Ruptured and Crippled Maintaini Past Accepting new patients
Jopal Bronx LLC Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1811 Hone Ave
Bronx, NY 10461
Phone (516) 499-9016

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: erodriguez19743@direct.southcoast.org

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 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1497856728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E 64TH ST APT 309",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656770",
            "telephone_number": "347-573-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 E 83RD ST",
            "address_2": "4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282403",
            "telephone_number": "646-416-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EMMANUEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34529800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.