Individual provider Active NPI

Rafael S Rodriguez, MD

  • Hospitalist Physician
  • Tampa, FL
National Provider Identifier
1720059868
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME81064 Issued in FL
Practice address
4102 N Macdill Ave Ste a
Tampa, FL 33607-6717
Phone
(813) 876-4900
Fax
(813) 876-4997
NPI assigned
Jan 27, 2006
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME81064 FL Primary

Addresses

Primary practice location

4102 N Macdill Ave Ste a
Tampa, FL 33607-6717

Mailing address

PO Box 341409
Tampa, FL 33694
Phone (813) 681-0340

Other practice location 1

13902 N Dale Mabry Hwy
#260
Tampa, FL 33618
Phone (813) 681-0340

Other identifiers 1

IdentifierTypeStateIssuer
270329700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040913000516 FL Practitioner - Internal Medicine 5799752556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tbim Hospitalists LLCGroup PAC ID 4880604602, 3 clinicians

Practice addresses (Care Compare)

4411 N Habana Ave
Tampa, FL 33614-7211
Phone (813) 872-2771

4801 N Howard Ave
Tampa, FL 33603-1411
Phone (813) 874-7575

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81064FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tbim Hospitalists LLC CurrentSince Jun 1, 2008 Accepting new patients
Tampa Bay Inpatient Medicine PA CurrentSince May 28, 2004 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

4801 N Howard Ave
Tampa, FL 33603
Phone (727) 581-4800

4411 N Habana Ave
Tampa, FL 33614
Phone (813) 872-2771

4102 N Macdill Ave
Ste A
Tampa, FL 33607
Phone (813) 876-4900

2810 W Saint Isabel St
Ste 201
Tampa, FL 33607
Phone (813) 681-0141

8720 Jackson Springs Rd
Tampa, FL 33615
Phone (813) 341-5600

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rrodriguez8146@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1720059868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341409",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33694",
            "telephone_number": "813-681-0340",
            "fax_number": "813-961-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 N MACDILL AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076717",
            "telephone_number": "813-876-4900",
            "fax_number": "813-876-4997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13902 N Dale Mabry Hwy",
            "address_2": "#260",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33618",
            "country_code": "US",
            "telephone_number": "813-681-0340",
            "fax_number": "813-961-2565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAFAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME81064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270329700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.