JENNIFER RODRIGUEZ M.D.
NPI 1104318419
Internal Medicine - Gastroenterology in Gresham, OR

Q: What is Jennifer Rodriguez's NPI number?

The NPI number for Jennifer Rodriguez is 1104318419. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Q: What is Jennifer Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment

25050 SE STARK ST, GRESHAM, OR 97030(503) 674-1848 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 9, 2025, Jul 6, 2021, Jan 18, 2021 (3 updates tracked since 2021).

On this page

About Jennifer Rodriguez M.d. NPPES

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

JENNIFER RODRIGUEZ M.D. (NPI 1104318419) is an individual gastroenterology provider in Gresham, Oregon, licensed in Oregon (MD210968) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104318419

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameJENNIFER RODRIGUEZCredential: M.D.

Location Address25050 SE STARK STGresham, OR 97030-3327

Mailing Address3303 S Bond AvePortland, OR 97239-4501 · (503) 494-4373 · Fax (503) 418-4189

Phone(503) 674-1848

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2018

Enumeration DateJune 1, 2018

Last NPPES UpdateJuly 14, 20253 updates tracked since enumeration

NPPES CertifiedJuly 14, 2025

✔ NPI 1104318419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OR · MD210968

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD210968 (OR), 149570 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

25050 SE STARK ST, Gresham, OR 97030

Open in Google Maps ↗

Secondary Practice Locations 2

Location 17800 Sheridan St Ste 367Pembroke Pines, FL 33024-2536 · Phone (954) 962-9650

Location 23303 S Bond AvePortland, OR 97239-4501 · Phone (503) 494-4373 · Fax (503) 418-4189

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer 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 ID5496158537

PECOS Enrollment IDI20240828003729

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohsu Hospital And Clinics

Acute Care Hospitals · Portland, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380009

Location3181 SW Sam Jackson Park RoadPortland, OR 97239 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 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

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$15.77 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$78.81 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

ALEXANDER HERMAN LAU M.D.

Pediatrics

25050 SE STARK ST, STE 300
GRESHAM, OR 97030

Multnomah County (503) 667-8878

SHANNA CHENG

Internal Medicine (Gastroenterology)

25050 SE STARK ST
GRESHAM, OR 97030

Multnomah County (503) 674-1848

JAMIE MIERAS D.P.M.

Podiatrist (Foot & Ankle Surgery)

25050 SE STARK ST, STE 265
GRESHAM, OR 97030

Multnomah County (503) 413-2005

DR. JENNIFER LOUISE ZAKHIREH M.D.

Surgery

25050 SE STARK ST
GRESHAM, OR 97030

Multnomah County (503) 674-1848

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 Jennifer Rodriguez's NPI number?

The NPI number for Jennifer Rodriguez is 1104318419. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Jennifer Rodriguez located?

Jennifer Rodriguez practices at 25050 SE Stark St, Gresham, OR 97030. The listed phone number is (503) 674-1848.

What is Jennifer Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jennifer Rodriguez enrolled in Medicare?

Yes. Jennifer 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.

What insurance does Jennifer Rodriguez accept?

Health plans from AvMed, BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare and Regence BlueCross BlueShield of Oregon list Jennifer Rodriguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jennifer Rodriguez affiliated with any hospitals?

According to CMS data, Jennifer Rodriguez is affiliated with Ohsu Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Jennifer Rodriguez was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.