Active NPI
Heriberto Rodriguez Jr., MD
- Family Medicine Physician
- Gretna, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125.072987
- Practice address
- 601 Terry Pkwy Ste O
Gretna, LA 70056-4300 - Phone
- (504) 534-1229
- Fax
- (504) 553-1176
- NPI assigned
- Jun 13, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.072987 | IL | Primary |
Addresses
Primary practice location
601 Terry Pkwy Ste O
Gretna, LA 70056-4300
Mailing address
PO Box 746721
Atlanta, GA 30374-6721
Phone (312) 733-9730
Other practice location 1
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 864-6000
Other practice location 2
3010 W 26th St
Chicago, IL 60623-4128
Phone (847) 220-4103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
230 Ochsner Blvd
Gretna, LA 70056-5246
Phone (504) 529-5558
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.072987 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Thomas Community Health Center, Inc. | Current | Accepting new patients | |
| St. Thomas Community Health Center, Inc | Current | Accepting new patients | |
| Oak Street Health Physicians Group, PC | Current | Accepting new patients | |
| St. Thomas Community Health Center, Inc | Past | Accepting new patients | |
| St. Thomas Community Health Center, Inc. | Past | Accepting new patients | |
| St. Thomas Community Health Center, Inc | Past | Accepting new patients | |
| St. Thomas Community Health Center, Inc. | Past | Accepting new patients | |
| Osh-in Physicians Group, PC | Family Medicine | Past | Accepting new patients |
| St. Thomas Community Health Center, Inc. | Past | Accepting new patients |
Locations
7000 Cermak Rd
Berwyn, IL 60402
Phone (708) 484-8090
3010 W 26th St
Chicago, IL 60623
Phone (847) 220-4103
4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200
230 Ochsner Blvd
Gretna, LA 70056
2014 Magazine St
New Orleans, LA 70130
Phone (504) 529-9115
2010 Magazine St
New Orleans, LA 70130
3221 General Degaulle Dr
New Orleans, LA 70114
1020 Saint Andrew St
New Orleans, LA 70130
3500 Holiday Dr
New Orleans, LA 70114
Phone (504) 367-5724
2000 Magazine St
New Orleans, LA 70130
Phone (504) 529-5888
1936 Magazine St
New Orleans, LA 70130
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
- NPI 1003185125
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
-
- Community/Retail Pharmacy
- New Orleans, LA
- NPI 1417786062
-
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
- NPI 1295757326
-
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
- NPI 1699115600
-
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
- NPI 1194247825
-
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
- NPI 1659082105
-
- Federally Qualified Health Center (FQHC)
- New Orleans, LA
- NPI 1730828419
-
- Primary Care Clinic/Center
- Indianapolis, IN
- NPI 1073995338
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1811480908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746721",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746721",
"telephone_number": "312-733-9730",
"fax_number": "312-929-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 TERRY PKWY STE O",
"city": "GRETNA",
"state": "LA",
"postal_code": "700564300",
"telephone_number": "504-534-1229",
"fax_number": "504-553-1176"
}
],
"practiceLocations": [
{
"address_1": "1901 W Harrison St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123714",
"country_code": "US",
"telephone_number": "312-864-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3010 W 26th St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606234128",
"country_code": "US",
"telephone_number": "847-220-4103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "HERIBERTO",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-13",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.072987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.