NPIMap

Individual provider Active NPI

Alfonso I Rodriguez, MD

  • Hospitalist Physician
  • Wilkes Barre, PA
National Provider Identifier
1598854390
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD038750E Issued in PA
Practice address
1130 Highway 315
Wilkesbarre, PA 18702-6952
Phone
(570) 823-8896
Fax
(570) 823-1291
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD038750E PA
Hospitalist Physician 208M00000X MD038750E PA Primary

Addresses

Primary practice location

1130 Highway 315
Wilkesbarre, PA 18702-6952

Mailing address

1130 Highway 315
Wilkesbarre, PA 18702-6952
Phone (570) 823-8896

Other identifiers 1

IdentifierTypeStateIssuer
001088784MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110211000394 PA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Nephrology 6800076522 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Hospitalist Group, LLCGroup PAC ID 3870035611, 56 clinicians

Practice addresses (Care Compare)

746 Jefferson Ave
Scranton, PA 18510-1624
Phone (570) 348-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as apm
Quality
78.34
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Hospitalist Group, LLC Hospitalist CurrentSince May 1, 2024 Accepting new patients
Advanced Inpatient Medicine Associates PC Hospitalist CurrentSince Feb 24, 2020 Accepting new patients
Renal Consultants of Wyoming Valley PC Nephrology CurrentSince Aug 10, 1987 Accepting new patients
Advanced Inpatient Medicine PC Hospitalist CurrentSince Feb 24, 2020 Accepting new patients
Wilkes Barre Hospital Company LLC Past Accepting new patients

Locations

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

1620 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 823-8896

1620 Highway 315 Blvd
Ste 1
Wilkes Barre, PA 18702
Phone (570) 237-5444

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

1130 Highway 315
Wilkes Barre, PA 18702
Phone (570) 821-2830

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 and National Provider Directory roles.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1598854390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 HIGHWAY 315",
            "city": "WILKESBARRE",
            "state": "PA",
            "postal_code": "187026952",
            "telephone_number": "570-823-8896",
            "fax_number": "570-823-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 HIGHWAY 315",
            "city": "WILKESBARRE",
            "state": "PA",
            "postal_code": "187026952",
            "telephone_number": "570-823-8896",
            "fax_number": "570-823-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALFONSO",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD038750E",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD038750E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001088784",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.