KYLE JARED ORTIZ RODRIGUEZ
NPI 1114481983
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Kyle Ortiz Rodriguez's NPI number?

The NPI number for Kyle Ortiz Rodriguez is 1114481983. It was assigned to this individual provider in the NPPES registry on January 25, 2019.

Q: What is Kyle Ortiz Rodriguez's specialty?

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

Active since January 25, 2019PECOS Enrolled

355 W 16TH ST # GH5100, INDIANAPOLIS, IN 46202(317) 963-8145 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2021, Dec 19, 2019, Jan 25, 2019 (3 updates tracked since 2019).

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About Kyle Jared Ortiz Rodriguez NPPES

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

KYLE JARED ORTIZ RODRIGUEZ (NPI 1114481983) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114481983

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKYLE JARED ORTIZ RODRIGUEZ

Location Address355 W 16TH ST # GH5100Indianapolis, IN 46202-2207

Mailing AddressHc-2 Box 2267Boqueron, PR 00622 · (787) 538-2750

Phone(317) 963-8145

Sole ProprietorYes

Enumeration DateJanuary 25, 2019

Last NPPES UpdateJune 14, 20213 updates tracked since enumeration

NPPES CertifiedJune 14, 2021

✔ NPI 1114481983 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.

355 W 16TH ST # GH5100, Indianapolis, IN 46202

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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)

Kyle Jared Ortiz Rodriguez 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 11

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

WESTON C TROJA

Student in an Organized Health Care Education/Training Program