Diana Minerva Rodriguez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60074 Issued in CT

Practice address

445 S Main St
West Hartford, CT 06110-1646

Phone

(860) 696-2240

Fax

(860) 561-7272

NPI assigned

Apr 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 1, 2024 through Mar 1, 2028

Merit-based Incentive Payment System (MIPS)

Final score

94.48 of 100Reported as apm

Quality

83.4

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drodriguez11352@direct.med.uchc.edu

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.

• 4 Elements Direct Primary Care LLC

  • Internal Medicine Physician
  • South Windsor, CT
  • NPI 1730756636
  NPD (past)
• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1427007848
  NPD (past)
• The Hospital of Central Connecticut at New Britain General and Bradley

  • General Acute Care Hospital
  • New Britain, CT
  • NPI 1053477075
  NPD (past)

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942620927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 LEWIS AVE",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064512101",
            "telephone_number": "860-224-5661",
            "fax_number": "860-224-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101646",
            "telephone_number": "860-696-2240",
            "fax_number": "860-561-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Coventry St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061121548",
            "country_code": "US",
            "telephone_number": "860-714-2813",
            "fax_number": "860-714-8541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Grand St",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060522016",
            "country_code": "US",
            "telephone_number": "860-224-5661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DIANA",
        "middle_name": "MINERVA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "60074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarrabeth Rocco
• Kurt Walter Rode, DPM
• Ineza Rodriguez-Diaz, ND
• Alberto J Rodriguez, M.D.
• Amy Rodriguez
• Evan Rodriguez
• Gabrielle Rodriguez, LMFT
• Hilary Rodriguez, PHARMD
• Tracy Roe
• Margaret Grace Rogan

• Internal Medicine Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.