Individual provider Active NPI

Rodolfo F Rodriguez, M.D.

  • Internal Medicine Physician
  • Saint Cloud, FL
National Provider Identifier
1750367611
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME91355 Issued in FL
Practice address
1000 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34769-4745
Phone
(407) 564-3699
Fax
(407) 593-9413
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME91355 FL Primary

Addresses

Primary practice location

1000 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34769-4745

Mailing address

1000 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34769-4745
Phone (407) 564-3699

Other identifiers 1

IdentifierTypeStateIssuer
272591600MedicaidFL

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
I20051014000116 FL Practitioner - Internal Medicine 3577588946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

1989 W Lumsden Rd
Optum Brandon
Brandon, FL 33511-8821
Phone (813) 653-3111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Afm Healthcare PastSince Feb 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCHDBD
  • Direct secure messaging: rodolfo.rodriguez@wellmed.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1750367611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E IRLO BRONSON MEMORIAL HWY",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694745",
            "telephone_number": "407-564-3699",
            "fax_number": "407-593-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E IRLO BRONSON MEMORIAL HWY",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694745",
            "telephone_number": "407-564-3699",
            "fax_number": "407-593-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RODOLFO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272591600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.