Individual provider Active NPI

Angelina Rodriguez, M.D.

  • Family Medicine Physician
  • Homosassa, FL
National Provider Identifier
1548592991
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME134023 Issued in FL
Practice address
7945 S Suncoast Blvd Ste a
Homosassa, FL 34446
Phone
(352) 382-5000
Fax
(352) 382-1940
NPI assigned
Feb 10, 2010
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 57.015039 OH
Family Medicine Physician 207Q00000X 35.096487 OH
Family Medicine Physician 207Q00000X ME134023 FL Primary

Addresses

Primary practice location

7945 S Suncoast Blvd Ste a
Homosassa, FL 34446

Mailing address

44 Veterans Ave
Brooksville, FL 34601-3215
Phone (352) 797-3500

Other practice location 1

8423 Market St
Ste 101
Boardman, OH 44512-6778
Phone (330) 729-8700

Other practice location 2

8423 Market St
Ste 101
Boardman, OH 44512-6778
Phone (330) 729-8700

Other practice location 3

44 Veterans Ave
Brooksville, FL 34601-3215
Phone (352) 797-3500

Other identifiers 1

IdentifierTypeStateIssuer
0051599MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20211227000296 NV Practitioner - Family Practice 1658540307 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134023FLMDFamily Medicine Physician
35.096487OHMDFamily Medicine Physician
57.015039OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Health Care LLC Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Mubder Health LLC Past Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients
Largo Physician Group, LLC PastSince Mar 21, 2018 Accepting new patients
Mercy Health Physicians Past Accepting new patients

Locations

3540 W Sahara Ave
#330
Las Vegas, NV 89102
Phone 7029216823 ext. 2

3540 W Sahara Ave
Ste 330
Las Vegas, NV 89102
Phone (702) 945-2321

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100

Interoperability endpoints

  • Direct secure messaging: angelina.rodriguez.p1@direct.nevadahealthcenters.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1548592991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 VETERANS AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013215",
            "telephone_number": "352-797-3500",
            "fax_number": "352-797-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 S SUNCOAST BLVD STE A",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "34446",
            "telephone_number": "352-382-5000",
            "fax_number": "352-382-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8423 Market St",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445126778",
            "country_code": "US",
            "telephone_number": "330-729-8700",
            "fax_number": "330-729-8701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8423 Market St",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445126778",
            "country_code": "US",
            "telephone_number": "330-729-8700",
            "fax_number": "330-729-8701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Veterans Ave",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346013215",
            "country_code": "US",
            "telephone_number": "352-797-3500",
            "fax_number": "352-797-3526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANGELINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57.015039",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.096487",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME134023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051599",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homosassa, FL

Sources for this page

Verify at the official NPI Registry.