Active NPI
Martha Mercedes Rodriguez, M.D.
- Internal Medicine Physician
- Boynton Beach, FL
National Provider Identifier
1508963802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME63688
- Practice address
- 2015 Ocean Dr
Ste #11
Boynton Beach, FL 33426-5802 - Phone
- (561) 364-8056
- Fax
- (561) 364-8507
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- 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 | ME63688 | FL | Primary |
Addresses
Primary practice location
2015 Ocean Dr
Ste #11
Boynton Beach, FL 33426-5802
Mailing address
2015 Ocean Dr
Ste #11
Boynton Beach, FL 33426-5802
Phone (561) 364-8056
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://ecwcms-drehlqyh14.azurewebsites.net/FHIRServer/fhir/BEDBAA/ | Health Information Exchange (HIE) |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME63688 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dobremed,LLC | Current | Accepting new patients | |
| Conviva Medical Center Management LLC | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2015 Ocean Dr
Ste 11
Boynton Beach, FL 33426
Phone (561) 364-8056
6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686
440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDJHDD/Endpoint/HDJHDD
Organizations & group practices 3
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
- Miami, FL
- NPI 1649324278
-
- Primary Care Clinic/Center
- Boynton Beach, FL
- NPI 1457167603
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1508963802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 OCEAN DR",
"address_2": "STE #11",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334265802",
"telephone_number": "561-364-8056",
"fax_number": "561-364-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 OCEAN DR",
"address_2": "STE #11",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334265802",
"telephone_number": "561-364-8056",
"fax_number": "561-364-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARTHA",
"middle_name": "MERCEDES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME63688",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://ecwcms-drehlqyh14.azurewebsites.net/FHIRServer/fhir/BEDBAA/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR end point",
"address_1": "2015 OCEAN DR",
"address_2": "STE #11",
"city": "BOYNTON BEACH",
"state": "FL",
"country_code": "US",
"postal_code": "334265802",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.