Ricardo J Rodriguez, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

259131 Issued in NY

Practice address

1060 Gaffney Rd
Ft Wainwright, AK 99703-5002

Phone

(907) 361-6028

Fax

(907) 361-4847

NPI assigned

Nov 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Harlem Medical Associates PC

  • General Practice Physician
  • New York, NY
  • NPI 1487957692
  Medicare reassignment NPD

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1659552685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035002",
            "telephone_number": "907-361-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035002",
            "telephone_number": "907-361-6028",
            "fax_number": "907-361-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RICARDO",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-19",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "259131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Reed, LCSW
• Shane David Rhoton, DMD
• Richard Earl Rickley Jr.
• Shannon R Riggins, PHARMD
• Hannah Robinson, MD
• Brinon Aubry Rogers II
• Cheryl Roper, NURSE
• Davilia Sabino, PA-C
• Andrew Victor Sanchez, DDS
• Amber Rose O'Barr Sanders, LAT, ATC

• Surgery Physician in Fort Wainwright, AK
• Providers in Fort Wainwright, AK by specialty
• Surgery Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.