Individual provider Active NPI

Diana Rodriguez, M.D.

  • Obstetrics & Gynecology Physician
  • Brighton, MA
National Provider Identifier
1508849811
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
156557 Issued in MA
Practice address
736 Cambridge St
Brighton, MA 02135-2907
Phone
(617) 584-8735
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 156557 MA
Obstetrics & Gynecology Physician 207V00000X 156557 MA Primary
Maternal & Fetal Medicine Physician 207VM0101X D0065072 MD

Addresses

Primary practice location

736 Cambridge St
Brighton, MA 02135-2907

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Phone (617) 414-4505

Other identifiers 1

IdentifierTypeStateIssuer
3192717MedicaidMA

Other names 1

  • Dr. Diana Rodriguez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050804000452 MA Practitioner - Pediatric MedicinePractitioner - Obstetrics/Gynecology 4981633518 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Obstetrics/Gynecology
Education
Harvard Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians

Practice addresses (Care Compare)

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 794-8121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156557MAMDMaternal & Fetal Medicine Physician
D0065072MDMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc. Obstetrics & Gynecology CurrentSince Dec 9, 2019 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Dec 9, 2019 Accepting new patients
BMC Affiliated Physicians, Inc. Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients
Baystate Medical Practices, Inc Obstetrics & Gynecology CurrentSince Feb 14, 2019 Accepting new patients
Revere Medical of Massachusetts, PC CurrentSince Dec 21, 2024 Accepting new patients
Boston University Obstetrics and Gynecology Foundation, Inc. Obstetrics & Gynecology Past Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

444 Montgomery St
Chicopee, MA 01020
Phone (413) 594-3111

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

Interoperability endpoints

  • Direct secure messaging: drodriguez252510@direct.bmc.masshiway.net

Organizations & group practices 8

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1508849811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE STE 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690",
            "telephone_number": "617-414-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-584-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MA",
            "license": "156557",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "156557",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MD",
            "license": "D0065072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3192717",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "RODRIGUEZ",
            "prefix": "DR.",
            "credential": "MD, MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.