Individual provider Active NPI

Nelson F Rodriguez, MD

  • Psychiatry Physician
  • Mason, OH
National Provider Identifier
1710941018
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35085072 Issued in OH
Practice address
4075 Old Western Row Rd
Mason, OH 45040-3104
Phone
(513) 536-0623
Fax
(513) 536-0619
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35085072 OH Primary
Psychiatry Physician 2084P0800X 34057 KY

Addresses

Primary practice location

4075 Old Western Row Rd
Mason, OH 45040-3104

Mailing address

4075 Old Western Row Rd
Mason, OH 45040-3104
Phone (513) 536-4673

Other identifiers 3

IdentifierTypeStateIssuer
2486055OtherOHMEDICAID
64340573MedicaidKY
9234OtherKYMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070604000745 OH Practitioner - Psychiatry 3072592393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lindner Center of Hope Professional AssociatesGroup PAC ID 7012236409, 72 clinicians

Practice addresses (Care Compare)

4075 Old Western Row Rd
Mason, OH 45040-3104
Phone (513) 536-4673

7700 University CT
Suite 3100
West Chester, OH 45069-2524
Phone (513) 475-7425

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35085072OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Craig and Frances Lindner Center of Hope CurrentSince Aug 18, 2008 Accepting new patients
Lindner Center of Hope Professional Associates CurrentSince Mar 17, 2015 Accepting new patients
University of Cincinnati Physicians Company, LLC Psychiatry CurrentSince Sep 1, 2017 Accepting new patients
St. Luke Hospitals, Inc. Past Accepting new patients
Cumberland Medpsych Consultancy PLLC Psychiatry PastSince Feb 1, 2008 Accepting new patients
Integrated Behavioral Services Inc Psychiatry PastSince Apr 1, 2001 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

19 S Main St
Dry Ridge, KY 41035
Phone (606) 824-7111

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

4900 Houston Rd
#201
Florence, KY 41042
Phone (859) 962-5125

7388 Turfway Rd
Ste 101
Florence, KY 41042
Phone (859) 212-4500

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3200 Burnet Ave
Cincinnati, OH 45229
Phone (513) 558-7700

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

4075 Old Western Row Rd
Mason, OH 45040
Phone (513) 536-0232

7700 University Dr
Ste 3100
West Chester, OH 45069
Phone (513) 475-8264

7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000

Interoperability endpoints

  • Direct secure messaging: nrodriguez35434@direct.uchealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1710941018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 OLD WESTERN ROW RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403104",
            "telephone_number": "513-536-4673",
            "fax_number": "513-536-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 OLD WESTERN ROW RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450403104",
            "telephone_number": "513-536-0623",
            "fax_number": "513-536-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NELSON",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35085072",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "34057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "2486055",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64340573",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9234",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.