Individual provider Active NPI

Alejandro Remigio Rodriguez, M.D.

  • Urology Physician
  • Winston Salem, NC
National Provider Identifier
1740489376
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2022-02631 Issued in NC
Practice address
140 Charlois Blvd
Winston Salem, NC 27103-1522
Phone
(336) 716-4131
Fax
(336) 713-0328
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 275241 NY
Urology Physician 208800000X 2022-02631 NC Primary

Addresses

Primary practice location

140 Charlois Blvd
Winston Salem, NC 27103-1522

Mailing address

100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-0238

Other practice location 1

4500 Millennium Dr
Geneseo, NY 14454-1192
Phone (585) 232-2980

Other practice location 2

22567 Summit Dr Ste A
Watertown, NY 13601-7233
Phone (315) 782-7230

Other practice location 3

995 Senator Keating Blvd Ste 330
Rochester, NY 14618-2779
Phone (585) 232-2980

Other identifiers 2

IdentifierTypeStateIssuer
003688700MedicaidFL
14F1AOtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Alejandro Remigio Rodriguez Morales-Bermudez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110823000154 FL Practitioner - UrologyPractitioner - General Surgery 3577733989 Reassigns benefits to 1 organization
I20121026000320 NY Practitioner - Urology 3577733989 Reassigns benefits to 2 organizations
I20221230001752 NC Practitioner - Urology 3577733989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

140 Charlois Blvd
Winston Salem, NC 27103-1522
Phone (336) 716-4131

250 Hospital Dr
Lexington, NC 27292-6792
Phone (336) 716-2734

601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275241NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Dec 3, 2018 Accepting new patients
Florida Hospital Physician Group Inc CurrentSince Sep 19, 2022 Accepting new patients
Wake Forest University Health Sciences CurrentSince Nov 7, 2022 Accepting new patients
Rochester General Hospital CurrentSince Dec 3, 2018 Accepting new patients
Rochester General Hospital CurrentSince Dec 3, 2018 Accepting new patients
Central New York Brain & Spine Neurosurgery PLLC Past Accepting new patients

Locations

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3000 Medical Park Dr
Ste 500
Tampa, FL 33613
Phone (813) 615-7028

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

218 Gatewood Ave
High Point, NC 27262
Phone (336) 802-2030

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

140 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 716-4131

4500 Millennium Dr
Geneseo, NY 14454
Phone (585) 232-2980

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

995 Senator Keating Blvd
Ste 330
Rochester, NY 14618
Phone (585) 232-2980

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: arodriguez2754401@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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 7

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1740489376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KIMEL FOREST DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-716-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CHARLOIS BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031522",
            "telephone_number": "336-716-4131",
            "fax_number": "336-713-0328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Millennium Dr",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144541192",
            "country_code": "US",
            "telephone_number": "585-232-2980",
            "fax_number": "585-232-6522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22567 Summit Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136017233",
            "country_code": "US",
            "telephone_number": "315-782-7230",
            "fax_number": "315-782-3209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "995 Senator Keating Blvd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146182779",
            "country_code": "US",
            "telephone_number": "585-232-2980",
            "fax_number": "585-232-6552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ALEJANDRO",
        "middle_name": "REMIGIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "275241",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2022-02631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003688700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14F1A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEJANDRO",
            "last_name": "RODRIGUEZ MORALES-BERMUDEZ",
            "middle_name": "REMIGIO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.