Individual provider Active NPI

Roberto David Rodriguez Jerez, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1710316450
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A154298 Issued in CA
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

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190304002125 CA Practitioner - Obstetrics/Gynecology 5395084669 Reassigns benefits to 6 organizations

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
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

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

LicenseStateTypeSpecialty
A154298CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc Current Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jan 22, 2026 Accepting new patients
Scripps Health Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Dec 13, 2018 Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Nov 1, 2024 Accepting new patients
First Choice Physician Partners Obstetrics & Gynecology CurrentSince Jan 19, 2026 Accepting new patients
Family Health Centers of San Diego Inc Current Accepting new patients
First Choice Physician Partners CurrentSince Jan 19, 2026 Accepting new patients
La Maestra Family Clinic, Inc. Current Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Jun 7, 2024 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Dec 13, 2018 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 CurrentSince Dec 29, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince Dec 29, 2024 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

  • Direct secure messaging: roberto.rodriguezjerez.p1@direct.lamaestra.nextgenshare.com
  • Direct secure messaging: rrodriguezjerez727789@hisp.ehr.sutterhealth.org
  • Direct secure messaging: rjerez57384@syhealth.direct-ci.com
  • Direct secure messaging: 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.

View all 17

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

Sources for this page

Verify at the official NPI Registry.