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IDA C RODRIGUE M.A.
NPI 1043885932
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since May 24, 2021PECOS Enrolled
1635 CENTRAL AVE, BRIDGEPORT, CT 06610(203) 551-7600 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ida C Rodrigue M.a. NPPES

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

IDA C RODRIGUE M.A. (NPI 1043885932) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043885932
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIDA C RODRIGUECredential: M.A.
Location Address1635 CENTRAL AVEBridgeport, CT 06610-2717
Mailing Address1635 Central AveBridgeport, CT 06610-2717 · (203) 551-7660
Phone(203) 551-7600
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 24, 2021
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1043885932 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.
1635 CENTRAL AVE, Bridgeport, CT 06610
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Other Names 1

Professional Name (2)Ida C Sudol M.a.

Secondary Practice Location 1

Location 11695 Main St Fl 400Springfield, MA 01103-1063 · Phone (431) 739-5572

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ida C Rodrigue M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204337199
PECOS Enrollment IDI20250902001101
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.

MRS. GABRIELE STEFANIE PAUL LCSW
Social Worker (Clinical)
1635 CENTRAL AVE, SOUTHWEST CT MENTAL HEALTH SYSTEM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7660
DONNA MARIE BLAKE
Student in an Organized Health Care Education/Training Program
1635 CENTRAL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7091
MS. MAGALIS SANDOVAL LCSW
Social Worker (Clinical)
1635 CENTRAL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 924-2824
LASHELL RICHARDSON LCSW
Social Worker (Clinical)
1635 CENTRAL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7400
MARIA ELENA GALVIN LCSW
Social Worker (Clinical)
1635 CENTRAL AVE, SOUTHWEST CT MENTAL HEALTH SYSTEM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7660
MARIAN ANTINOZZI
Social Worker (Clinical)
1635 CENTRAL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7004
DR. DIANNE DUFFEY M.D.
Psychiatry & Neurology (Psychiatry)
1635 CENTRAL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7400
DR. JOHN T. CREEGAN MD
Psychiatry & Neurology (Psychiatry)
1635 CENTRAL AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 551-7400

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 Ida Rodrigue's NPI number?

The NPI number for Ida Rodrigue is 1043885932. It was assigned to this individual provider in the NPPES registry on May 24, 2021. The provider is also known as Ida C Sudol M.A..

Where is Ida Rodrigue located?

Ida Rodrigue practices at 1635 Central Ave, Bridgeport, CT 06610. The listed phone number is (203) 551-7600.

What is Ida Rodrigue's specialty?

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

Is Ida Rodrigue enrolled in Medicare?

Yes. Ida Rodrigue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ida Rodrigue was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.