Individual provider Active NPI

Luis Ernesto Rodriguez, M.D.

  • Emergency Medicine Physician
  • Ahoskie, NC
National Provider Identifier
1740249853
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200001617 Issued in NC
Practice address
500 Academy St S
Ahoskie, NC 27910-3248
Phone
(252) 209-3148
Fax
(252) 209-3146
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200001617 NC Primary
Internal Medicine Physician 207R00000X 2000-01617 NC

Addresses

Primary practice location

500 Academy St S
Ahoskie, NC 27910-3248

Mailing address

PO Box 1385
Ahoskie, NC 27910-1385
Phone (252) 209-3148

Other identifiers 3

IdentifierTypeStateIssuer
13087OtherNCBCBS OF NC
70176OtherNCMEDCOST
8913087MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040517000615 NC Practitioner - Emergency MedicinePractitioner - Internal Medicine 7214927631 Reassigns benefits to 8 organizations
I20180530001970 VA Practitioner - Emergency Medicine 7214927631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.66 of 100Reported as group
Quality
86.13
Improvement activities
40
Cost
79.44

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
85.58
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000-01617NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince May 20, 2020 Accepting new patients
Halifax Regional Medical Center Inc CurrentSince Oct 4, 2014 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince May 20, 2020 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 10, 2020 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Wilson Emergency Physician Partners PLLC Emergency Medicine CurrentSince Sep 4, 2021 Accepting new patients
Robeson Emergency Physicians, PLLC Emergency Medicine CurrentSince Dec 15, 2018 Accepting new patients
Columbus Emergency Group LLC Emergency Medicine CurrentSince Dec 13, 2022 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince May 20, 2020 Accepting new patients
Halifax Regional Medical Center Inc CurrentSince Oct 4, 2014 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince May 20, 2020 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
Kinston Physicians Group, PLLC Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
North Carolina Emergency Physicians, PLLC Emergency Medicine PastSince Feb 9, 2020 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Williamston HBP Services LLC Emergency Medicine Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: lrodriguez@crhn.cernerdirect.com
  • Direct secure messaging: lrodriguez301464@direct.ecuhealth.com

Organizations & group practices 18

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 18

Hospital & facility affiliations 2

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1740249853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279101385",
            "telephone_number": "252-209-3148",
            "fax_number": "252-209-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103248",
            "telephone_number": "252-209-3148",
            "fax_number": "252-209-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUIS",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200001617",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2000-01617",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "13087",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "70176",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913087",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.