DR. RAFAEL ANTONIO RODRIGUEZ M.D.
NPI 1053536250
Internal Medicine in Jackson Heights, NY

Q: What is Rafael Rodriguez's NPI number?

The NPI number for Rafael Rodriguez is 1053536250. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Q: What is Rafael Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Rodriguez was last updated on December 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since April 16, 2007PECOS Enrolled

3711 88TH ST, JACKSON HEIGHTS, NY 11372(347) 605-2785(347) 572-8781 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Rafael Antonio Rodriguez M.d. NPPES

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

DR. RAFAEL ANTONIO RODRIGUEZ M.D. (NPI 1053536250) is an individual internal medicine provider in Jackson Heights, New York, licensed in New York (179642) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053536250

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RAFAEL ANTONIO RODRIGUEZCredential: M.D.

Location Address3711 88TH STJackson Heights, NY 11372-7630

Mailing Address9224 Queens Boulevard # 747887Rego Park, NY 11374-7887 · (347) 605-2785 · Fax (646) 572-8781

Phone(347) 605-2785

Fax(347) 572-8781

Sole ProprietorYes

Enumeration DateApril 16, 2007

Last NPPES UpdateDecember 12, 2014

✔ NPI 1053536250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 179642

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 179642 (NY)

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 179642 (NY)

3711 88TH ST, Jackson Heights, NY 11372

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Other Identifiers 3

Medicare UPINF61883

Medicare ID-Type Unspecified02016NY · Pin Ghi Medicare

Medicaid01618015NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rafael Antonio Rodriguez M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11372 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. KELVIN OGELLE D.P.M

Podiatrist (Primary Podiatric Medicine)