Active NPI
Roberto David Rodriguez Jerez, M.D.
- Obstetrics & Gynecology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A154298
- Practice address
- 821 S Leavitt St FL 1
Chicago, IL 60612-4209 - Phone
- (773) 257-5286
- NPI assigned
- Nov 4, 2013
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A154298 | CA | Primary |
Addresses
Primary practice location
821 S Leavitt St FL 1
Chicago, IL 60612-4209
Mailing address
821 S Leavitt St Apt 1
Chicago, IL 60612-3617
Phone (773) 257-5286
Other names 1
- Roberto David Rodriguez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154298 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| First Choice Physician Partners | Obstetrics & Gynecology | Current | Accepting new patients |
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Apex Healthcare Medical Center Inc | Past | Accepting new patients |
Locations
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
217 Highland Ave
National City, CA 91950
Phone (619) 280-4213
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
4004 Beyer Blvd
San Ysidro, CA 92173
Phone (619) 428-1330
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- roberto.rodriguezjerez.p1@direct.lamaestra.nextgenshare.com
- rrodriguezjerez727789@hisp.ehr.sutterhealth.org
- rjerez57384@syhealth.direct-ci.com
- rrodriguezjerez161333@scrippshlth.medalliesdirect.net
Organizations & group practices 17
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.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1306929443
-
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
- Federally Qualified Health Center (FQHC)
- Santee, CA
- NPI 1376184911
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1528331287
-
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1346480837
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1912264862
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1710316450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 S LEAVITT ST APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123617",
"telephone_number": "773-257-5286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 S LEAVITT ST FL 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124209",
"telephone_number": "773-257-5286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ JEREZ",
"first_name": "ROBERTO",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-04",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A154298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERTO",
"last_name": "RODRIGUEZ",
"middle_name": "DAVID",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
- Amanda Beatriz Rodriguez Betancourt, DDS
- Maria De Las Mercedes Rodriguez Celin
- Ana Milena Rodriguez Fahrni, M.D.
- Esteban Elias Emmanuel Rodriguez Ferreira, MD
- Daniela Rodriguez Gonzalez, DO
- Melissa Rodriguez Mendoza, MD
- Mauricio Rodriguez Naime
- Jose Miguel Rodriguez Oquendo, SA-C
- Rebecca Leandra Rodriguez Rivera, PSYD
- Yunuen Rodriguez Rodriguez, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.