Individual provider Active NPI

Jose Raul Rodriguez, M.D.

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1770977647
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME135835 Issued in FL
Practice address
14551 Hope Center Loop Ste 100
Fort Myers, FL 33912-4705
Phone
(239) 936-2316
Fax
(239) 936-3099
NPI assigned
Mar 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X ME135835 FL
Diagnostic Radiology Physician 2085R0202X ME135835 FL Primary

Addresses

Primary practice location

14551 Hope Center Loop Ste 100
Fort Myers, FL 33912-4705

Mailing address

3660 Broadway
Fort Myers, FL 33901-8005
Phone (239) 936-2316

Other identifiers 1

IdentifierTypeStateIssuer
110203500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA, CA3 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
I20210512000555 FL Practitioner - Diagnostic Radiology 0143639732 Reassigns benefits to 3 organizations
I20260228000838 LA Practitioner - Diagnostic Radiology 0143639732 Reassigns benefits to 2 organizations
I20260622003506 CA Practitioner - Diagnostic Radiology 0143639732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Regional Center P aGroup PAC ID 9638151756, 60 clinicians

Practice addresses (Care Compare)

18300 Murdock Cir
Unit 101
Port Charlotte, FL 33948-1116
Phone (239) 936-2316

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
75.76
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME135835FLMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Pet/CT Imaging of Lake Charles. LLC CurrentSince Jan 1, 2026 Accepting new patients
Mary Bird Perkins Cancer Center Diagnostic Radiology CurrentSince Feb 12, 2026 Accepting new patients
Ark-la-Tex Diagnostics, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Radiology Regional Center Professional Services LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Radiology Regional Center P a Diagnostic Radiology CurrentSince Jul 6, 2021 Accepting new patients
Advanced Imaging of Lafayette LLC CurrentSince Jan 1, 2026 Accepting new patients
Northeast Imaging Center CurrentSince Jan 1, 2026 Accepting new patients
Millennium Physician Group LLC CurrentSince Jul 1, 2023 Accepting new patients
M. R. Imaging Systems, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Central Imaging Center, LLC CurrentSince Dec 1, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Jul 1, 2023 Accepting new patients
Bluebonnet Imaging Center, LLC CurrentSince Jan 1, 2026 Accepting new patients
River Bend Imaging LLC CurrentSince Jan 1, 2026 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients
Radiology Regional Center, PA Diagnostic Radiology PastSince Aug 28, 2021 Accepting new patients

Locations

9776 Bonita Beach Rd SE
Bonita Springs, FL 34135
Phone (239) 444-2200

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

1708 Cape Coral Pkwy W
Ste 3
Cape Coral, FL 33914
Phone (239) 541-3800

805 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 242-8010

10201 Arcos Ave
Ste 101
Estero, FL 33928
Phone (239) 444-5800

14551 Hope Center Loop
Ste 100
Fort Myers, FL 33912
Phone (399) 362-3162

6100 Winkler Rd
Fort Myers, FL 33919

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

3680 Broadway
Fort Myers, FL 33901
Phone (239) 936-0380

6140 Winkler Rd
Fort Myers, FL 33919

3660 Broadway
Fort Myers, FL 33901
Phone (239) 424-1449

1110 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 344-1000

1735 SW Health Pkwy
Ste 201
Naples, FL 34109
Phone (239) 249-7800

700 Goodlette Rd
Naples, FL 34102
Phone (239) 430-1400

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

18300 Murdock Cir
Bldg 15
Port Charlotte, FL 33948
Phone (941) 255-7901

18300 Murdock Cir
Unit 101
Port Charlotte, FL 33948

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

6600 University Pkwy
Ste 102
Sarasota, FL 34240
Phone (941) 378-3231

1104 W Highway 30
Gonzales, LA 70737
Phone (225) 215-1321

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1770977647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BROADWAY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018005",
            "telephone_number": "239-936-2316",
            "fax_number": "239-936-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 HOPE CENTER LOOP STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124705",
            "telephone_number": "239-936-2316",
            "fax_number": "239-936-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "RAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME135835",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME135835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110203500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.