Individual provider Active NPI

Fabian D Rodriguez, M.D.

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1801855192
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
80177 Issued in AZ
Practice address
6565 E Carondelet Dr Ste 275
Tucson, AZ 85710-3529
Phone
(520) 298-0147
Fax
(520) 298-7404
NPI assigned
Mar 23, 2006
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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 80177 AZ Primary

Addresses

Primary practice location

6565 E Carondelet Dr Ste 275
Tucson, AZ 85710-3529

Mailing address

4801 E Broadway Blvd Ste 251
Tucson, AZ 85711-2700
Phone (520) 327-0460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220728003015 OH Practitioner - Internal Medicine 3274606017 Reassigns benefits to 1 organization
I20260626002910 AZ Practitioner - Internal Medicine 3274606017

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4801 E Broadway Blvd
Suite 251
Tucson, AZ 85711-3633

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.145971OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. Internal Medicine CurrentSince Aug 4, 2008 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Aug 4, 2008 Accepting new patients
The Metrohealth System Current Accepting new patients
Dedicated Ohio Holding LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Arizona Community Physicians PC Internal Medicine PastSince Aug 5, 2026 Accepting new patients
Dedicated Ohio Holding LLC PastSince Apr 26, 2020 Accepting new patients
Arizona Community Physician PC PastSince Aug 5, 2026 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

15 Regional Dr
Pinehurst, NC 28374
Phone (910) 255-4400

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

8 Regional Cir
Pinehurst, NC 28374
Phone (910) 215-5555

7642 Reading Rd
Cincinnati, OH 45237
Phone (513) 208-2880

13719 Lorain Ave
Cleveland, OH 44111
Phone (216) 307-3005

15105 Saint Clair Ave
Cleveland, OH 44110
Phone (216) 451-6260

Interoperability endpoints

  • Direct secure messaging: frodriguez236461@direct.metrohealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1801855192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E BROADWAY BLVD STE 251",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112700",
            "telephone_number": "520-327-0460",
            "fax_number": "520-795-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E CARONDELET DR STE 275",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103529",
            "telephone_number": "520-298-0147",
            "fax_number": "520-298-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "FABIAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "80177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.