NPIMap

Individual provider Active NPI

Hector Javier De Jesus- Rodriguez, MD

  • Diagnostic Radiology Physician
  • Birmingham, AL
National Provider Identifier
1770954828
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.48697 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35233-1900
Phone
(205) 934-4011
NPI assigned
Oct 15, 2015
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD.48697 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35233-1900

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701

Other identifiers 1

IdentifierTypeStateIssuer
1770954828MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210324000269 PR Practitioner - Diagnostic Radiology 8426323197 Reassigns benefits to 6 organizations
I20240920001037 AL Practitioner - Diagnostic Radiology 8426323197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ponce School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aguadilla Medical Services, Inc. CurrentSince Mar 2, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 3, 2024 Accepting new patients
Hospital Menonita Caguas Inc Diagnostic Radiology CurrentSince Dec 19, 2024 Accepting new patients
Aguadilla Medical Services, Inc. Current Accepting new patients
Aguadilla Medical Services, Inc. Current Accepting new patients
Guaynabo Radiology, LLC CurrentSince Mar 1, 2021 Accepting new patients
Oncology & Body Imaging PSC Body Imaging CurrentSince Feb 1, 2022 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 25, 2021 Accepting new patients
International Radiology Center & Medical Group, PSC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Feb 25, 2021 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Dec 19, 2024 Accepting new patients
Aguadilla Medical Services, Inc CurrentSince Mar 2, 2021 Accepting new patients
PLG Breast Imaging Services, PSC Diagnostic Radiology PastSince Jan 31, 2020 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

720 39th St N
Birmingham, AL 35222

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

100 Carr 165
Ste C107
Guaynabo, PR 00968
Phone (787) 296-8880

8 Ave Las Cumbres
Guaynabo, PR 00969
Phone (787) 307-7674

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1770954828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS- RODRIGUEZ",
        "first_name": "HECTOR",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD.48697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770954828",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.