Individual provider Active NPI

Martha Mercedes Rodriguez, M.D.

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1508963802
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME63688 Issued in FL
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

Updated by the provider on Jun 3, 2020

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000633 FL Practitioner - Internal Medicine 8820163546 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME63688FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dobremed,LLC CurrentSince Dec 8, 2024 Accepting new patients
Conviva Medical Center Management LLC Internal Medicine CurrentSince May 1, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.