Individual provider Active NPI

Erlinda T Rodriquez, MD

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1861462764
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18902 Issued in AZ
Practice address
1717 W Chandler Blvd
Chandler, AZ 85224-6145
Phone
(480) 821-7565
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18902 AZ Primary

Addresses

Primary practice location

1717 W Chandler Blvd
Chandler, AZ 85224-6145

Mailing address

1717 W Chandler Blvd
Chandler, AZ 85224-6145
Phone (480) 821-7565

Other identifiers 1

IdentifierTypeStateIssuer
170720MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040930000112 AZ Practitioner - Family Practice 2769451343

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arizona College of Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1717 W Chandler Blvd
Chandler, AZ 85224-6145

25500 N Norterra Dr
Phoenix, AZ 85085-8200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18902AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Az CurrentSince Apr 1, 1998 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Apr 1, 1998 Accepting new patients
Chandler Regional Medical Center Past Accepting new patients

Locations

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

433 W Broadway Rd
Tempe, AZ 85282
Phone (480) 968-7835

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

Interoperability endpoints

  • Direct secure messaging: erodriquez10335@evernorth.direct-ci.com

Organizations & group practices 4

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861462764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246145",
            "telephone_number": "480-821-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246145",
            "telephone_number": "480-821-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIQUEZ",
        "first_name": "ERLINDA",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "18902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170720",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.