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MATEO ALBERTO LEAL RODRIGUEZ MD
NPI 1003618547
Student in an Organized Health Care Education/Training Program in Beavercreek, OH

Active since March 25, 2025PECOS Enrolled
2145 N FAIRFIELD RD STE 100, BEAVERCREEK, OH 45431(937) 558-3900(937) 558-3999 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mateo Alberto Leal Rodriguez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATEO ALBERTO LEAL RODRIGUEZ MD (NPI 1003618547) is an individual student in an organized health care education/training program in Beavercreek, Ohio and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003618547
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATEO ALBERTO LEAL RODRIGUEZCredential: MD
Location Address2145 N FAIRFIELD RD STE 100Beavercreek, OH 45431-2783
Mailing Address2145 N Fairfield Rd Ste 100Beavercreek, OH 45431-2783 · (937) 558-3900 · Fax (937) 558-3999
Phone(937) 558-3900
Fax(937) 558-3999
Sole ProprietorNo
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
✔ NPI 1003618547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2145 N FAIRFIELD RD STE 100, Beavercreek, OH 45431
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mateo Alberto Leal Rodriguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLER BENJAMIN DYKES MD
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
JAMES M TYTKO MD
Family Medicine
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
LISA RENEE VANTREASE MD
Family Medicine
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
DR. ANDREW SAUNDERS MD
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
RYAN EDWARD FLYNN DO
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
DR. COURTNEY M STROBLE M.D.
Family Medicine
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
DR. EDWARD NICHOLAS PASSEN DO
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900
DR. KATE HARRIS MD
Student in an Organized Health Care Education/Training Program
2145 N FAIRFIELD RD STE 100
BEAVERCREEK, OH 45431
Greene County (937) 558-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mateo Leal Rodriguez's NPI number?

The NPI number for Mateo Leal Rodriguez is 1003618547. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Mateo Leal Rodriguez located?

Mateo Leal Rodriguez practices at 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431. The listed phone number is (937) 558-3900.

What is Mateo Leal Rodriguez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mateo Leal Rodriguez enrolled in Medicare?

Yes. Mateo Leal Rodriguez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mateo Leal Rodriguez was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.