Irandathy Rodrigo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042715 Issued in GA

Practice address

2522 Cruse Rd
Ste. C-2
Lawrenceville, GA 30044-2750

Phone

(678) 225-5540

Fax

(678) 225-5541

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olga Colac

  • Family Nurse Practitioner
  • Stone Mountain, GA
  • NPI 1245553015
  Medicare reassignment

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.

• Cumming Family Medicine Inc

  • Family Medicine Physician
  • Cumming, GA
  • NPI 1144337023
  NPD (past)
• Wilmer & Associates Group Inc.

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1407025463
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1922067875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 CRUSE RD",
            "address_2": "STE. C-2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442750",
            "telephone_number": "678-225-5540",
            "fax_number": "678-225-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 CRUSE RD",
            "address_2": "STE. C-2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300442750",
            "telephone_number": "678-225-5540",
            "fax_number": "678-225-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGO",
        "first_name": "IRANDATHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert H Robinson, DMD
• Robyn Elayne Robinson, OTR
• Samantha M Robinson, RN
• Janine Kfouri Robles, DO
• Rocket Science HR
• Sandy Junior Rodriguez de Jesus, DC
• Rodriguez MD, LLC
• Kamille Rodriguez-Olivo, MS, OTR/L
• Alejandra Rodriguez
• Aniello Rodriguez, DC

• Family Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.

Verify at the official NPI Registry.