Individual provider Active NPI

Veronica Rodriguez, MD

  • Internal Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1649478934
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
062426 Issued in GA
Practice address
771 Old Norcross Rd
Ste 120
Lawrenceville, GA 30046-4386
Phone
(770) 670-6920
Fax
(770) 670-6927
NPI assigned
Jul 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 99026 FL
Internal Medicine Physician 207R00000X 062426 GA Primary

Addresses

Primary practice location

771 Old Norcross Rd
Ste 120
Lawrenceville, GA 30046-4386

Mailing address

771 Old Norcross Rd
Ste 120
Lawrenceville, GA 30046-4386
Phone (770) 670-6920

Other identifiers 1

IdentifierTypeStateIssuer
003105719AMedicaidGA

Other names 1

  • Veronica Rodriguez Bisquet Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000086 GA Practitioner - Family PracticePractitioner - Internal Medicine 3779679824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rodriguez MD, LLCGroup PAC ID 4981898640, 2 clinicians

Practice addresses (Care Compare)

771 Old Norcross Rd
Suite 120
Lawrenceville, GA 30046-4977
Phone (770) 670-6920

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 99026FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rodriguez MD, LLC CurrentSince Jul 1, 2010 Accepting new patients
South Dade Medical Group LLP Past Accepting new patients

Locations

771 Old Norcross Rd
Ste 120
Lawrenceville, GA 30046
Phone (770) 670-6920

Interoperability endpoints

  • Direct secure messaging: vrodriguez@rodriguezmd.ssdirect.aprima.com

Organizations & group practices 2

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 4

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": "1183766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1649478934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "STE 120",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464386",
            "telephone_number": "770-670-6920",
            "fax_number": "770-670-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "STE 120",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464386",
            "telephone_number": "770-670-6920",
            "fax_number": "770-670-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VERONICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-07",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 99026",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "062426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003105719A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "BISQUET",
            "middle_name": "RODRIGUEZ",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.