Active NPI
Paul A. Rodriguez, DO
- Pain Medicine Physician
- Lighthouse Point, FL
National Provider Identifier
1629057914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- OS7048
- Practice address
- 1821 NE 25TH Street
Suite 100
Lighthouse Point, FL 33064 - Phone
- (954) 941-0484
- Fax
- (954) 941-0485
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | OS7048 | FL | |
| Pain Medicine Physician | 208VP0000X | OS7048 | FL | Primary |
Addresses
Primary practice location
1821 NE 25TH Street
Suite 100
Lighthouse Point, FL 33064
Mailing address
1821 NE 25TH Street
Suite 100
Lighthouse Point, FL 33064
Phone (954) 941-0484
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 285366 | Other | FL | AVMED |
| 257541800 | Medicaid | FL | |
| 050072248 | Other | FL | RAILROAD MEDICARE |
| 49427 | Other | FL | BLUE CROSS BLUE SHIELD |
| 49427 | Other | FL | BCBS OF FLORIDA |
| L4QH7 | Other | FL | FLORIDA BLUE |
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 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1821 NE 25TH St
Suite 100
Lighthouse Point, FL 33064-7744
Phone (954) 941-0484
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul a Rodriguez DO PA | Current | Accepting new patients | |
| American Anesthesiology of Florida, Inc | Anesthesiology | Past | Accepting new patients |
| Lighthouse Point Surgery Center LLC | Past | Accepting new patients |
Locations
1821 NE 25th St
#100
Lighthouse Point, FL 33064
Phone (954) 941-0484
1800 N Federal Hwy
Ste 202
Pompano Beach, FL 33062
Phone (954) 783-2323
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 and National Provider Directory roles.
-
- Specialist
- Lighthouse Point, FL
- NPI 1881603900
-
- Interventional Pain Medicine Physician
- Lighthouse Point, FL
- NPI 1174025001
-
- Anesthesiology Physician
- Melville, NY
- NPI 1679592893
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1629057914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 NE 25TH STREET",
"address_2": "SUITE 100",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "33064",
"telephone_number": "954-941-0484",
"fax_number": "954-941-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 NE 25TH STREET",
"address_2": "SUITE 100",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "33064",
"telephone_number": "954-941-0484",
"fax_number": "954-941-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "PAUL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "OS7048",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "OS7048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "285366",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257541800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050072248",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "49427",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "49427",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "L4QH7",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.