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JUAN CARLOS RODRIGUEZ M.D.
NPI 1083031033
Internal Medicine - Nephrology in Merced, CA

Active since March 27, 2014PECOS EnrolledAccepts Medicare Assignment
81.86/100
CMS Quality Rating
3393 G ST STE D, MERCED, CA 95340(209) 230-9065 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 4, 2019, Aug 23, 2019, Jun 6, 2019 (3 updates tracked since 2019).

About Juan Carlos Rodriguez M.d. NPPES

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

JUAN CARLOS RODRIGUEZ M.D. (NPI 1083031033) is an individual nephrology provider in Merced, California, licensed in California (A140767) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083031033
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJUAN CARLOS RODRIGUEZCredential: M.D.
Location Address3393 G ST STE DMerced, CA 95340-1001
Mailing Address3393 G St Ste DMerced, CA 95340-1001 · (209) 230-9065
Phone(209) 230-9065
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 27, 2014
Last NPPES UpdateOctober 4, 20193 updates tracked since enumeration
✔ NPI 1083031033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A140767
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3393 G ST STE D, Merced, CA 95340
Open in Google Maps ↗

Secondary Practice Location 1

Location 11411 E 31st St, A2 Room 18Oakland, CA 94602-1018 · Phone (510) 535-7618

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan Carlos Rodriguez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698004802
PECOS Enrollment IDI20190913001411
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Juan Rodriguez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Golden Valley Health Center
Same address
Federally Qualified Health Center (FQHC)
3940 SANDPIPER AVE
Merced, CA 95340
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1487639027 (866) 682-4842
Merced Hospitalist Medical Group, Inc.
2.4 mi
Internal Medicine
333 MERCY AVE
Merced, CA 95340
  • Reassigned Medicare billing, California enrollment
  • 126 clinicians in this Medicare group
NPI 1730431875 (209) 564-5000
Stanislaus Kidney And Hypertension
2.9 mi
Nephrology
3393 G ST, SUITE D
Merced, CA 95340
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1366767899 (209) 230-9065

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
981 services211 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
316 services160 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
278 services231 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
202 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
98 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
84 services79 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95340 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality37.68
Improvement Activities40
Cost89.29

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 Juan Rodriguez's NPI number?

The NPI number for Juan Rodriguez is 1083031033. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Juan Rodriguez located?

Juan Rodriguez practices at 3393 G St Ste D, Merced, CA 95340. The listed phone number is (209) 230-9065.

What is Juan Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Juan Rodriguez enrolled in Medicare?

Yes. Juan Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Juan Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Rodriguez reassigns Medicare benefits to 3 organizations: Golden Valley Health Center (Merced, CA), Merced Hospitalist Medical Group, Inc. (Merced, CA) and Stanislaus Kidney And Hypertension (Merced, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Juan Rodriguez was last updated on October 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.