Individual provider Active NPI

Keith Rodriguez, M.D.

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1922396142
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
125.059014 Issued in IL
Practice address
5840 S Maryland Ave
Mc4028
Chicago, IL 60637-1462
Phone
(773) 702-6700
NPI assigned
Jul 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 125.059014 IL Primary

Addresses

Primary practice location

5840 S Maryland Ave
Mc4028
Chicago, IL 60637-1462

Mailing address

8 E 9TH St Apt 2204
Chicago, IL 60605-4505
Phone (512) 557-2066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20150806012281 CO Practitioner - Anesthesiology 5991019754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians

Practice addresses (Care Compare)

10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Phone (303) 438-3999

2525 S Downing St
Denver, CO 80210-5817
Phone (303) 438-3999

501 E Hampden Ave
Swedish Medical Center
Englewood, CO 80113-2702
Phone (303) 438-3999

7700 S Broadway
Littleton Adventist Hospital
Littleton, CO 80122-2602
Phone (303) 438-3999

7730 S Broadway
Summit View Surgery Center
Littleton, CO 80122-2602
Phone (303) 438-3999

Hospital & facility affiliations

  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.059014ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince Mar 1, 2016 Accepting new patients

Locations

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1922396142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E 9TH ST APT 2204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606054505",
            "telephone_number": "512-557-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 S MARYLAND AVE",
            "address_2": "MC4028",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371462",
            "telephone_number": "773-702-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KEITH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125.059014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.