NPIMap

Individual provider Active NPI

Ivan David Rodriguez, D.O.

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1649292012
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7908 Issued in FL
Practice address
7100 W 20TH Ave
Suite 504
Hialeah, FL 33016-1897
Phone
(305) 827-3330
Fax
(305) 824-4699
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7908 FL Primary

Addresses

Primary practice location

7100 W 20TH Ave
Suite 504
Hialeah, FL 33016-1897

Mailing address

7777 NW 167TH Ter
Miami Lakes, FL 33016-8452
Phone (305) 824-0706

Other identifiers 1

IdentifierTypeStateIssuer
259931700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20071106000674 FL Practitioner - Family PracticePractitioner - Geriatric Medicine 3072582436 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Miami Lakes, FL 33016
Phone (305) 787-5971

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC Family Medicine Current Accepting new patients
QMC LLC CurrentSince May 18, 2019 Accepting new patients
Ivan D Rodriguez D O P a CurrentSince Feb 1, 2003 Accepting new patients
Context Medical Group, Inc. Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Medivital Health Center LLC CurrentSince Apr 27, 2025 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Feb 1, 2023 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Feb 1, 2023 Accepting new patients
First Docs PC CurrentSince May 1, 2025 Accepting new patients
Empower U, Inc Family Medicine Past Accepting new patients
Jose Orcasita-NG, LLC Family Medicine PastSince Mar 27, 1998 Accepting new patients
Orcasita M. D. & Associates LLC PastSince Jul 21, 2024 Accepting new patients

Locations

7100 W 20th Ave
Ste 504
Hialeah, FL 33016
Phone (305) 819-1820

1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318

10550 NW 77th Ct
Ste 305
Hialeah Gardens, FL 33016
Phone (305) 826-3072

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

8785 NW 32nd Ave
Miami, FL 33147
Phone (305) 691-5711

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

8004 NW 154th St
Miami Lakes, FL 33016
Phone (305) 530-8119

12505 NE 16th Ave
North Miami, FL 33161
Phone (305) 891-1210

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

6140 SW 70th St
#2
South Miami, FL 33143
Phone (305) 284-7577

Interoperability endpoints

  • Direct secure messaging: irodriguez@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Dade Nursing & Rehabilitation CenterMiami, FL, CCN 106132 Skilled nursing facility Adp of the SNF Oct 7, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1649292012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 NW 167TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330168452",
            "telephone_number": "305-824-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 20TH AVE",
            "address_2": "SUITE 504",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161897",
            "telephone_number": "305-827-3330",
            "fax_number": "305-824-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "IVAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259931700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.