Individual provider Active NPI

Hannah Rodriguez, PA-C

  • Medical Physician Assistant
  • Birdsboro, PA
National Provider Identifier
1861883837
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057404 Issued in PA
Practice address
258 Ben Franklin Hwy E
Birdsboro, PA 19508-8772
Phone
(610) 288-2908
Fax
(610) 898-4832
NPI assigned
Feb 12, 2015
Last updated
May 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057404 PA Primary

Addresses

Primary practice location

258 Ben Franklin Hwy E
Birdsboro, PA 19508-8772

Mailing address

258 Ben Franklin Hwy E
Birdsboro, PA 19508-8772
Phone (610) 288-2908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160520000581 PA Practitioner - Physician Assistant 6103115753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Dermatology Group PCGroup PAC ID 9830170877, 8 clinicians

Practice addresses (Care Compare)

2301 Huntingdon Pike
Suite 202
Huntingdon Valley, PA 19006-6130
Phone (215) 947-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
92.77
Promoting interoperability
100
Improvement activities
40
Cost
73.24

National Provider Directory

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1861883837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 BEN FRANKLIN HWY E",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195088772",
            "telephone_number": "610-288-2908",
            "fax_number": "610-898-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 BEN FRANKLIN HWY E",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195088772",
            "telephone_number": "610-288-2908",
            "fax_number": "610-898-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birdsboro, PA

Sources for this page

Verify at the official NPI Registry.