Michael Rodriguez, D.O.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

006885 Issued in AZ

Practice address

20325 N 51St Ave Ste 154
Glendale, AZ 85308-4622

Phone

(623) 900-4740

Fax

(855) 398-9290

NPI assigned

Jul 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Otolaryngology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adobe ENT and Allergy LLCGroup PAC ID 0941637581, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

45 of 100Reported as individual

Quality

0

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19670/brand/1/csg/1/fhir/r4
• Direct secure messaging: mrodriguez@adobe-ent.emadirect.md

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.

• Adobe ENT & Allergy, LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Glendale, AZ
  • NPI 1467914259
  Medicare reassignment Care Compare group NPD Authorized official
• Enticare PC

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Chandler, AZ
  • NPI 1710014410
  Medicare reassignment NPD
• Adobe Hearing, LLC

  • Audiologist-Hearing Aid Fitter
  • Glendale, AZ
  • NPI 1417553223
  NPD Authorized official
• Az Surgery Center, LLC

  • Surgery Physician
  • Glendale, AZ
  • NPI 1407318298
  NPD Authorized official
• First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1629201264
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1528356284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 154",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084622",
            "telephone_number": "623-900-4740",
            "fax_number": "855-398-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 154",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084622",
            "telephone_number": "623-900-4740",
            "fax_number": "855-398-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AZ",
            "license": "006885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117932",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DO LICENSE",
            "identifier": "006885",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@adobe-ent.com",
            "affiliation": "N",
            "address_1": "20325 N 51st Ave Ste 154",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853084622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ignacio Rodriguez Jr., LBSW
• Jenifer Rodriguez
• Jennifer Rodriguez
• Leslie Rodriguez
• Liliana Rodriguez
• Stephanie Rodriguez
• Whitney Nicole Rodriguez, BS
• Lizette Rodriquez
• Elaine Monique Ramos Roe, OD
• Matthew Roe, O.D.

• Otolaryngology/Facial Plastic Surgery Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.

Verify at the official NPI Registry.