Edwin J Rodriguez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5369 Issued in SD

Practice address

4643 S Woodhaven Way
Billings, MT 59106-2493

Phone

(605) 920-1965

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Cogent Healthcare of Montana P C

  • Internal Medicine Physician
  • Missoula, MT
  • NPI 1053569525

  Family Medicine, MT

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Montana - TCS PC

  • Internal Medicine Physician
  • Butte, MT
  • NPI 1902567183

  Family Medicine, MT

  Medicare reassignment NPD
• SCL Health Medical Group - Billings LLC

  • Clinic/Center
  • Billings, MT
  • NPI 1508289703

  MT

  Medicare reassignment NPD
• SCL Health Montana

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1083655997

  MT

  Medicare reassignment NPD
• SCL Health Medical Group - Billings, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Billings, MT
  • NPI 1003701558
  NPD
• SCL Health Montana

  • Multi-Specialty Clinic/Center
  • Billings, MT
  • NPI 1376634162
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)
• St. Vincent Healthcare

  • Primary Care Clinic/Center
  • Billings, MT
  • NPI 1043257983
  NPD (past)
• Fort Yates Indian Health Service Hospital

  • Health Service Clinic/Center
  • Bullhead, SD
  • NPI 1497347579
  NPD (past)
• Fort Yates Indian Health Service Hospital

  • Clinic/Center
  • McLaughlin, SD
  • NPI 1710037288
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538162003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4643 S WOODHAVEN WAY",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591062493",
            "telephone_number": "605-920-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 S WOODHAVEN WAY",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591062493",
            "telephone_number": "605-920-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDWIN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "5369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5603970",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rocky Mountain Medical
• Rocky Mountain Vascular Associates
• Shanna Rodgers, LCPC
• Ronny Rodriguez Castillo
• Daniel V. Rodriguez, MD
• Eileen Rodriguez, NBC-HWC
• Erin Dawn Rodriguez, LCPC, LAC, MAC
• Genevieve Elena Rodriguez
• Joy Samantha Rodriguez, NP
• Shaylyn Rodriguez, ACLC

• All providers in Billings, MT
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.