Active NPI
Marinilda Rodriguez
- Foot & Ankle Surgery Podiatrist
- Allentown, PA
National Provider Identifier
1710972716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC-004807
- Practice address
- 101 S 17TH St
Allentown, PA 18104-6704 - Phone
- (484) 664-2170
- Fax
- (484) 664-2171
- NPI assigned
- Sep 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | SC-004807 | PA | |
| Radiology Podiatrist | 213ER0200X | SC-004807 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC-004807 | PA | Primary |
| Foot Surgery Podiatrist | 213ES0131X | SC-004807 | PA | |
| Podiatrist | 213E00000X | SC004807 | PA |
Addresses
Primary practice location
101 S 17TH St
Allentown, PA 18104-6704
Mailing address
PO Box 90567
Allentown, PA 18109-0567
Phone (267) 978-4747
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50056100 | Other | CAPITAL BLUE CROSS | |
| 0123110 | Other | GHI | |
| INDEPENDENCE BLUE CR | Other | 1763939 | |
| 101450010 0001 | Other | MEDICAID | |
| 1014500100001 | Medicaid | PA | |
| 1761920 | Other | HIGMARK BHLUE SHIELD | |
| 5669603 | Other | CIGNA |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050919000442 | PA | Practitioner - Podiatry | 3870526965 | Practice locations: Allentown, PA; Philadelphia, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 S 17TH St
Allentown, PA 18104-6704
Phone (610) 821-9228
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 469 |
| Removal or shaving of skin growth | 362 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC-004807 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple University of the Commonwealth System of Higher Education | Podiatrist | Past | Accepting new patients |
| Parry PT LLC | Past | Accepting new patients | |
| Temple University of the Commonwealth System of Higher Education | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Souderton, PA
- NPI 1326028887
-
- Podiatrist
- Philadelphia, PA
- NPI 1265446983
-
- Dental Clinic/Center
- Philadelphia, PA
- NPI 1841268604
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1710972716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90567",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181090567",
"telephone_number": "267-978-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S 17TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181046704",
"telephone_number": "484-664-2170",
"fax_number": "484-664-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARINILDA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "PA",
"license": "SC-004807",
"primary": false
},
{
"code": "213ER0200X",
"taxonomy_group": "",
"desc": "Podiatrist, Radiology",
"state": "PA",
"license": "SC-004807",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC-004807",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC-004807",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC004807",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50056100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0123110",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1763939",
"identifier": "INDEPENDENCE BLUE CR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "101450010 0001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014500100001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGMARK BHLUE SHIELD",
"identifier": "1761920",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5669603",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.