Individual provider Active NPI

Noe A. Rodriguez, M.D.

  • Surgery Physician
  • Cleveland, OH
National Provider Identifier
1649531765
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.135815 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-1544
Phone
(216) 445-3030
NPI assigned
Jun 5, 2012
Last updated
May 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 35.135815 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-1544

Mailing address

817 Positano Rd
Galveston, TX 77550-3347
Phone (832) 628-6688

Other practice location 1

22 S Greene St # S8B13
Baltimore, MD 21201-1544
Phone (832) 628-6688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190517000440 OH Practitioner - General Surgery 1254639479 Reassigns benefits to 1 organization
I20200922002475 AR Practitioner - General Surgery 1254639479 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.135815OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roller Weight Loss Institute Inc Surgery CurrentSince Sep 1, 2020 Accepting new patients
North East Ohio Group Practice LLC CurrentSince Aug 17, 2019 Accepting new patients
Roller Weight Loss Institute,Inc. Surgery CurrentSince Sep 1, 2020 Accepting new patients

Locations

1695 E Rainforest Rd
Fayetteville, AR 72703
Phone (479) 445-6460

4220 Interchange Corporate Ctr Rd
Warrensville Heights, OH 44128

4220 Interchange Corporate Ctr Rd
Warrensville Heights, OH 44128
Phone (216) 910-3800

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1649531765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 POSITANO RD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775503347",
            "telephone_number": "832-628-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441951544",
            "telephone_number": "216-445-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St # S8B13",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "832-628-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NOE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.135815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.