Active NPI
Ryan Gustavo Rodriguez, MD
- Surgical Critical Care Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- ME166833
- Practice address
- 3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893 - Phone
- (800) 991-6117
- Fax
- (888) 812-8191
- NPI assigned
- Mar 29, 2018
- Last updated
- Apr 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | ME166833 | FL | Primary |
| Phlebology Physician | 202K00000X | ME166833 | FL |
Addresses
Primary practice location
3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Mailing address
3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117
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
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3209 Liberty St
Hollywood, FL 33021-3713
3820 Northdale Blvd
Suite 201
Tampa, FL 33624-1893
4129 N Armenia Ave
Suite B
Tampa, FL 33607-6436
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME166833 | FL | MD | Phlebology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wazni, PLLC | Current | Accepting new patients | |
| Tampa Lung Specialists, P.a. | Current | Accepting new patients | |
| Raul Sierra MD PA | Past | Accepting new patients |
Locations
4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918
3820 Northdale Blvd
Ste 201
Tampa, FL 33624
4129 N Armenia Ave
Tampa, FL 33607
Phone (813) 870-3342
4129 N Armenia Ave
Ste B
Tampa, FL 33607
Phone (813) 877-7526
1314 E Venice Ave
Ste B
Venice, FL 34285
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1558866517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 NORTHDALE BLVD STE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241893",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 NORTHDALE BLVD STE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241893",
"telephone_number": "800-991-6117",
"fax_number": "888-812-8191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "RYAN",
"middle_name": "GUSTAVO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-29",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME166833",
"primary": true
},
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "FL",
"license": "ME166833",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.