Individual provider Active NPI

George L Rodriguez, MD

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
National Provider Identifier
1710926902
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD036647E Issued in PA
Practice address
841 E Allegheny Ave
Philadelphia, PA 19134-2401
Phone
(215) 425-1500
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X MD036647E PA
Physical Medicine & Rehabilitation Physician 208100000X MD036647E PA Primary

Addresses

Primary practice location

841 E Allegheny Ave
Philadelphia, PA 19134-2401

Mailing address

10 Sycamore CT
Media, PA 19063-2048
Phone (215) 432-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050803000317 PA Practitioner - Physical Medicine and Rehabilitation 8426086190 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD036647EPAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
George L. Rodriguez, M.D., PC Physical Medicine & Rehabilitation CurrentSince Dec 16, 2018 Accepting new patients
South Jersey Imaging Associates Inc Current Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L Rodriguez MD PC Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., PC Past Accepting new patients
George L. Rodriguez, M.D., PC Past Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L Rodriguez MD PC Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D. Physical Medicine & Rehabilitation Past Accepting new patients
George L Rodriguez MD PC Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., PC Past Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., PC Past Accepting new patients
George L Rodriguez MD PC Physical Medicine & Rehabilitation Past Accepting new patients
George L Rodriguez MD PC Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., PC Past Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L. Rodriguez, M.D., P.C. Past Accepting new patients
George L. Rodriguez, M.D., P.C. Physical Medicine & Rehabilitation Past Accepting new patients
George L Rodriguez MD PC Past Accepting new patients

Locations

7632 City Line Ave
Philadelphia, PA 19151
Phone (215) 473-1500

841 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 425-1500

Organizations & group practices 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1710926902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SYCAMORE CT",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632048",
            "telephone_number": "215-432-4488",
            "fax_number": "215-425-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191342401",
            "telephone_number": "215-425-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GEORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD036647E",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD036647E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.