Active NPI
Daisy A Rodriguez, M.D.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD045274E
- Practice address
- 841 E Allegheny Ave
Philadelphia, PA 19134-2401 - Phone
- (215) 425-1500
- Fax
- (215) 425-1659
- NPI assigned
- Jun 1, 2005
- Reactivated
- Apr 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD045274E | PA | Primary |
| Independent Medical Examiner Physician | 202C00000X | MD045274E | PA | |
| Internal Medicine Physician | 207R00000X | ME73807 | FL | |
| Internal Medicine Physician | 207R00000X | 9400621 | NC |
Addresses
Primary practice location
841 E Allegheny Ave
Philadelphia, PA 19134-2401
Mailing address
841 E Allegheny Ave
Philadelphia, PA 19134-2401
Phone (215) 425-1500
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9400621 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George L. Rodriguez, M.D., PC | Internal Medicine | Current | Accepting new patients |
| George L Rodriguez MD PC | Internal Medicine | Current | Accepting new patients |
| George L. Rodriguez, M.D., PC | Current | Accepting new patients | |
| Complete Local Specialty Care, Inc | Internal Medicine | Past | Accepting new patients |
| Stand Up MRI of Boca Raton Inc | Past | Accepting new patients |
Locations
841 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 425-1500
1938 S Columbus Blvd
Philadelphia, PA 19148
Phone (215) 462-1500
7632 City Line Ave
Philadelphia, PA 19151
Phone (215) 473-1500
Organizations & group practices 5
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.
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1982818407
Internal Medicine
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1699980706
Internal Medicine
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Malvern, PA
- NPI 1831495811
-
- Family Medicine Physician
- Hallandale Beach, FL
- NPI 1750377453
Internal Medicine
-
- Diagnostic Radiology Physician
- Boca Raton, FL
- NPI 1306811104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237507200000",
"number": "1891797015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 E ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191342401",
"telephone_number": "215-425-1500",
"fax_number": "215-425-1659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 E ALLEGHENY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191342401",
"telephone_number": "215-425-1500",
"fax_number": "215-425-1659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DAISY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2009-03-20",
"deactivation_date": "2006-03-31",
"reactivation_date": "2006-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD045274E",
"primary": true
},
{
"code": "202C00000X",
"taxonomy_group": "",
"desc": "Independent Medical Examiner",
"state": "PA",
"license": "MD045274E",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME73807",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9400621",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.