Active NPI
Jose Raul Rodriguez, M.D.
- Diagnostic Radiology Physician
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME135835
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110203500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, LA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME135835 | FL | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Pet/CT Imaging of Lake Charles. LLC | Current | Accepting new patients | |
| Mary Bird Perkins Cancer Center | Diagnostic Radiology | Current | Accepting new patients |
| Ark-la-Tex Diagnostics, Inc. | Current | Accepting new patients | |
| Radiology Regional Center Professional Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Regional Center P a | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Imaging of Lafayette LLC | Current | Accepting new patients | |
| Northeast Imaging Center | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| M. R. Imaging Systems, Inc. | Current | Accepting new patients | |
| Central Imaging Center, LLC | Current | Accepting new patients | |
| Millennium Physician Group LLC | Current | Accepting new patients | |
| Bluebonnet Imaging Center, LLC | Current | Accepting new patients | |
| River Bend Imaging LLC | Current | Accepting new patients | |
| Radiology Regional Center, PA | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Regional Center, PA | Diagnostic Radiology | Past | 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.
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1407809262
-
- Family Medicine Physician
- Fort Myers, FL
- NPI 1811122880
-
- Diagnostic Radiology Physician
- Fort Myers, FL
- NPI 1619365772
-
- Clinical Medical Laboratory
- Baton Rouge, LA
- NPI 1295833580
Diagnostic Radiology
-
- Hematology & Oncology Physician
- Carmichael, CA
- NPI 1992796759
-
- Radiation Oncology Physician
- Gonzales, LA
- NPI 1619155124
-
- Family Medicine Physician
- Brooksville, FL
- NPI 1073131702
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Lafayette, LA
- NPI 1093784761
-
- Radiology Clinic/Center
- Alexandria, LA
- NPI 1528081924
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Baton Rouge, LA
- NPI 1942393699
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Baton Rouge, LA
- NPI 1912954520
-
- Radiology Clinic/Center
- Lake Charles, LA
- NPI 1437172822
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.