Individual provider Active NPI

Jorge Ernesto Rodriguez, M.D.

  • Internal Medicine Physician
  • Palm Springs, CA
National Provider Identifier
1801874375
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G54429 Issued in CA
Practice address
4791 E Palm Canyon Dr Ste 100
Palm Springs, CA 92264-5232
Phone
(760) 834-7930
Fax
(760) 834-7931
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G54429 CA
Internal Medicine Physician 207R00000X G54429 CA Primary

Addresses

Primary practice location

4791 E Palm Canyon Dr Ste 100
Palm Springs, CA 92264-5232

Mailing address

4791 E Palm Canyon Dr Ste 100
Palm Springs, CA 92264-5232
Phone (760) 834-7930

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 834-7930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120517000555 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 7113991944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

4791 E Palm Canyon Dr
Suite 100
Palm Springs, CA 92264-5232
Phone (760) 834-7930

Hospital & facility affiliations

  • Alma Home Health , Inc Home health agency, Palm Desert, CA, CCN 559261
  • Suncrest Home Health Services Inc Home health agency, Chino, CA, CCN 059259
  • Mission Home Health Palm Desert Home health agency, Palm Desert, CA, CCN 059695
  • Amazing Health Home Care Inc Home health agency, Palm Desert, CA, CCN 559526
  • Golden Palms Home Health Care Inc. Home health agency, Rancho Mirage, CA, CCN 757586
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score
87.87 of 100Reported as group
Quality
85.37
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54429CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eisenhower Medical Center CurrentSince Dec 28, 2023 Accepting new patients
Eisenhower Medical Center Current Accepting new patients
Eisenhower Medical Center CurrentSince Dec 28, 2023 Accepting new patients

Locations

4791 E Palm Canyon Dr
Ste 100
Palm Springs, CA 92264
Phone (760) 834-7930

4791 E Palm Canyon Dr
Palm Springs, CA 92264
Phone (760) 834-7930

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

Interoperability endpoints

  • Direct secure messaging: jrodriguez127112@edirect.emc.org

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1801874375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4791 E PALM CANYON DR STE 100",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922645232",
            "telephone_number": "760-834-7930",
            "fax_number": "760-834-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4791 E PALM CANYON DR STE 100",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922645232",
            "telephone_number": "760-834-7930",
            "fax_number": "760-834-7931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-834-7930",
            "fax_number": "760-834-7931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JORGE",
        "middle_name": "ERNESTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G54429",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G54429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.