Individual provider Active NPI

Maria L Rodriguez, MD

  • Family Medicine Physician
  • Mililani, HI
National Provider Identifier
1982802617
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-21938 Issued in HI
Practice address
95-1249 Meheula Pkwy Ste 129
Mililani, HI 96789-1787
Phone
(808) 691-8511
Fax
(808) 623-2059
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD18148 ME
Family Medicine Physician 207Q00000X 14044 NH
Family Medicine Physician 207Q00000X MD-21938 HI Primary

Addresses

Primary practice location

95-1249 Meheula Pkwy Ste 129
Mililani, HI 96789-1787

Mailing address

95-1249 Meheula Pkwy Ste 129
Mililani, HI 96789-1787
Phone (808) 691-8511

Other practice location 1

65 Calef Hwy
Suite 200
Lee, NH 03861-6703
Phone (603) 868-3300

Other identifiers 4

IdentifierTypeStateIssuer
001722MedicaidHI
1982802617MedicaidME
3075130MedicaidNH
P00673148OtherNHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080827000408 NH Practitioner - Family Practice 3274609292 Reassigns benefits to 1 organization
I20210831002892 HI Practitioner - Family Practice 3274609292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

95 -1249 Meheula Pkwy
Suite 129
Mililani, HI 96789-1787
Phone (808) 623-2435

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Queen'S Medical Center Current Accepting new patients
The Queen'S Medical Center Current Accepting new patients
The Queens Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Queen'S Development Corporation and Subsidiaries CurrentSince Aug 1, 2021 Accepting new patients
Queen'S Development Corporation & Subsidiaries CurrentSince Aug 1, 2021 Accepting new patients
The Queen'S Medical Center CurrentSince Aug 1, 2021 Accepting new patients
Queens University Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Queen'S Development Corporation & Subsidiaries Current Accepting new patients

Locations

66-125 Kamehameha Hwy
Haleiwa, HI 96712
Phone (808) 225-0725

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

95-1249 Meheula Pkwy
Ste 129
Mililani, HI 96789
Phone (808) 623-2435

Interoperability endpoints

  • Direct secure messaging: maria.rodriguez@hawaiihie.medicity.net

Organizations & group practices 9

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 4

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1982802617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1249 MEHEULA PKWY STE 129",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891787",
            "telephone_number": "808-691-8511",
            "fax_number": "808-623-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-1249 MEHEULA PKWY STE 129",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891787",
            "telephone_number": "808-691-8511",
            "fax_number": "808-623-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Calef Hwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lee",
            "state": "NH",
            "postal_code": "038616703",
            "country_code": "US",
            "telephone_number": "603-868-3300",
            "fax_number": "603-868-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD18148",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "14044",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-21938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001722",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982802617",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075130",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00673148",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.