Individual provider Active NPI

Victoria Rodriguez, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1811644222
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115715 Issued in FL
Practice address
8950 N Kendall Dr Ste 407W
Miami, FL 33176-2132
Phone
(786) 596-3876
NPI assigned
Mar 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9115715 FL Primary

Addresses

Primary practice location

8950 N Kendall Dr Ste 407W
Miami, FL 33176-2132

Mailing address

PO Box 198054
Atlanta, GA 30384-5273
Phone (786) 594-6880

Other practice location 1

6200 Sunset Dr Ste 130
South Miami, FL 33143-4832
Phone (786) 596-3876

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VIC06204@cerner.directbaptisthealth.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007000634 FL Practitioner - Physician Assistant 8628454048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Oncology LLC PastSince Oct 16, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vic06204@cerner.directbaptisthealth.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1811644222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845273",
            "telephone_number": "786-594-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR STE 407W",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762132",
            "telephone_number": "786-596-3876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Sunset Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434832",
            "country_code": "US",
            "telephone_number": "786-596-3876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VIC06204@cerner.directbaptisthealth.net",
            "affiliation": "N",
            "address_1": "8950 N Kendall Dr Ste 407W",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.