Jose Luis Rodriguez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.003861 Issued in OH

Practice address

31 S Stanfield Rd
Suite 201
Troy, OH 45373-2374

Phone

(937) 440-7788

Fax

(937) 440-7177

NPI assigned

Aug 30, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, IN2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Current Care of Ohio PA CoGroup PAC ID 0042356073, 14 clinicians

Urgent Care Specialists, LLCGroup PAC ID 1850311010, 81 clinicians

Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: jrodriguez193803@direct.tgh.org

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.

• Urgent Care Specialists, LLC

  dba Hometown Urgent Care

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1114957123
  Medicare reassignment Care Compare group NPD
• American Current Care of Ohio PA Co

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1023292943

  OH

  Medicare reassignment Care Compare group NPD
• Pic Indiana PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Mishawaka, IN
  • NPI 1942546890
  Medicare reassignment Care Compare group NPD
• Hometown Urgent Care of Michigan, P.C.

  dba Hometown Urgent Care

  • Urgent Care Clinic/Center
  • Huber Heights, OH
  • NPI 1790030385
  Medicare reassignment NPD
• Hometown Urgent Care of Michigan, PC

  dba WellNow Clinical Laboratory

  • Clinical Medical Laboratory
  • Indianapolis, IN
  • NPI 1881358489
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Lindenwald Medical Associates Inc

  • Internal Medicine Physician
  • Hamilton, OH
  • NPI 1245405786
  NPD (past)

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1982038592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S STANFIELD RD",
            "address_2": "SUITE 201",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732374",
            "telephone_number": "937-440-7788",
            "fax_number": "937-440-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S STANFIELD RD",
            "address_2": "SUITE 201",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732374",
            "telephone_number": "937-440-7788",
            "fax_number": "937-440-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-30",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "jrodriguez247761@direct.premierhealth.com",
            "affiliation": "N",
            "address_1": "1911 Old Fairfield Rd Ste 110A",
            "city": "Beavercreek",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454322754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roxanne K Robbins, CNP
• Tracy A Robbins
• Stacy L Robinson
• Cheryl Lynn Rodgers, MRC, CRC, CCM
• Gonzalo J Rodriguez, MD
• Lisa Roessner
• Leslie Roeth, LAC
• Richard John Rosenkranz
• Sheri Ross
• Angela Rouse

• Physician Assistant in Troy, OH
• Providers in Troy, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.
• 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.