Active NPI
Alexis Phyllip Rodriguez
- Internal Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME128507
- Practice address
- 1611 NW 12TH Ave
Central Building, Room 600D (R-60)
Miami, FL 33136-1005 - Phone
- (305) 585-5215
- NPI assigned
- Mar 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME128507 | FL | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Central Building, Room 600D (R-60)
Miami, FL 33136-1005
Mailing address
PO Box 12493
Miami, FL 33101-2493
Phone (305) 585-5315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Miami, LM Miller School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 716-7111
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2000
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
- McLeod Loris Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Internal Medicine | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Internal Medicine | Current | Accepting new patients |
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| McLeod Health Clarendon | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients |
Locations
301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000
12200 Warwick Blvd
Ste 590B
Newport News, VA 23601
Phone (757) 534-5909
19375 Benns Grant Blvd
Smithfield, VA 23430
Phone (757) 674-8700
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.
-
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Internal Medicine
-
- Certified Registered Nurse Anesthetist
- Manning, SC
- NPI 1508218793
-
- Hospitalist Physician
- Dillon, SC
- NPI 1720033988
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Rural Health Clinic/Center
- Timmonsville, SC
- NPI 1003461773
-
- Community/Retail Pharmacy
- Little River, SC
- NPI 1629387352
-
- Medicare Defined Swing Bed Hospital Unit
- Dillon, SC
- NPI 1124487541
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Family Medicine Physician
- Newport News, VA
- NPI 1710020623
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511049600000",
"number": "1669748570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12493",
"city": "MIAMI",
"state": "FL",
"postal_code": "331012493",
"telephone_number": "305-585-5315",
"fax_number": "305-355-2242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "CENTRAL BUILDING, ROOM 600D (R-60)",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-585-5215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ALEXIS",
"middle_name": "PHYLLIP",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-25",
"last_updated": "2017-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME128507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2017; 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.