Active NPI
Emmanuel N Rodriguez, MD
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 250792
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34529800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Cassena Care at Home
- M J H S Hospice and Palliative Care, Inc
- Workmens Circle Multicare Center
- The Plaza Rehab and Nursing Center
- Terence Cardinal Cooke Health Care Center
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250792 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Morris Heights Health Center, Inc. | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Internal Medicine | Current | Accepting new patients |
| Bronx Medical Practice P.C. | Internal Medicine | Current | Accepting new patients |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Lwhmedical PC | Current | Accepting new patients | |
| Gloversville Physician Medicine Services PC | Hospitalist | Current | Accepting new patients |
| Morris Heights Health Center, Inc. | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | 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
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
- 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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Family Medicine Physician
- Bronx, NY
- NPI 1184968232
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Hospitalist Physician
- Gloversville, NY
- NPI 1487907630
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1184694291
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1104374685
-
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1710328380
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bronx, NY
- NPI 1467435669
-
- Community Based Hospice Care Agency
- New York, NY
- NPI 1770669038
-
- Home Health Agency
- Brooklyn, NY
- NPI 1114557931
-
- Skilled Nursing Facility
- New York, NY
- NPI 1598744146
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.