NPIMap

Individual provider Active NPI

Oscar Rodriguez, M.D.

  • Specialist
  • Mamou, LA
National Provider Identifier
1619983780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LA05521R Issued in LA
Practice address
1413 7TH St
Suite B
Mamou, LA 70554-2214
Phone
(337) 468-3392
Fax
(337) 468-3322
NPI assigned
Jul 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X LA05521R LA Primary

Addresses

Primary practice location

1413 7TH St
Suite B
Mamou, LA 70554-2214

Mailing address

1413 7TH St
Suite B
Mamou, LA 70554-2214
Phone (337) 468-3392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100729000949 LA Practitioner - Internal Medicine 8123069309 Reassigns benefits to 3 organizations
Practice locations: Mamou, LA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savoy Medical Management Group, IncGroup PAC ID 1557403953, shared by 13 NPIs, 37 clinicians

Practice addresses (Care Compare)

801 Poinciana Ave
Mamou, LA 70554-2243

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30.66 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
65.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LA05521RLAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Evangeline Clinical Services, Inc. CurrentSince Dec 14, 2015 Accepting new patients
Savoy Medical Management Group, Inc. Internal Medicine CurrentSince Nov 9, 2011 Accepting new patients
Savoy Medical Management Group, Inc. Internal Medicine CurrentSince Feb 15, 2013 Accepting new patients
Savoy Medical Management Group, Inc. Specialist CurrentSince Nov 9, 2011 Accepting new patients
Savoy Medical Management Group, Inc. Past Accepting new patients
FLS LLC Past Accepting new patients

Locations

801 Poinciana Ave
Mamou, LA 70554
Phone (337) 457-5740

803 Poinciana Ave
Mamou, LA 70554
Phone (337) 468-3099

616 Court St
Oberlin, LA 70655
Phone (337) 639-2067

Organizations & group practices 6

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619983780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 7TH ST",
            "address_2": "SUITE B",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542214",
            "telephone_number": "337-468-3392",
            "fax_number": "337-468-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 7TH ST",
            "address_2": "SUITE B",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542214",
            "telephone_number": "337-468-3392",
            "fax_number": "337-468-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "OSCAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "LA05521R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamou, LA

Sources for this page

Verify at the official NPI Registry.