NPIMap

Individual provider Active NPI

Saul Ahmed Rodriguez, M.D.

  • Internal Medicine Physician
  • Panama City, FL
National Provider Identifier
1851672620
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME115570 Issued in FL
Practice address
280 Forest Park Cir
Panama City, FL 32405-4919
Phone
(850) 215-3932
Fax
(850) 215-3959
NPI assigned
Sep 7, 2011
Last updated
Jun 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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 ME115570 FL Primary

Addresses

Primary practice location

280 Forest Park Cir
Panama City, FL 32405-4919

Mailing address

P.O. Box 9733
Panama City BCH, FL 32417
Phone (786) 972-0579

Other identifiers 1

IdentifierTypeStateIssuer
009690500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204000165 FL Practitioner - Internal Medicine 7719111301 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care House Calls PAGroup PAC ID 8325263270, 14 clinicians
Sacred Heart Health System, IncGroup PAC ID 5799763074, 19 clinicians

Practice addresses (Care Compare)

2744 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3091
Phone (850) 934-5713

4451 Bayou Blvd
Pensacola, FL 32503-2601
Phone (850) 475-4620

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care House Calls PA CurrentSince Nov 27, 2023 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Sep 12, 2017 Accepting new patients
Bayne Jones Army Community Hospital Internal Medicine PastSince Mar 29, 2020 Accepting new patients
Saul a. Rodriguez M.D. Internal Medicine Past Accepting new patients

Locations

2744 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 313-9046

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

5153 N 9th Ave
Ste 302
Pensacola, FL 32504
Phone (850) 416-2250

Organizations & group practices 7

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1851672620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9733",
            "city": "PANAMA CITY BCH",
            "state": "FL",
            "postal_code": "32417",
            "telephone_number": "786-972-0579",
            "fax_number": "850-248-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 FOREST PARK CIR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054919",
            "telephone_number": "850-215-3932",
            "fax_number": "850-215-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SAUL",
        "middle_name": "AHMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME115570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009690500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.