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RAFAEL RODRIGUEZ MD
NPI 1144298175
Internal Medicine in Jackson Heights, NY

Active since March 08, 2006PECOS Enrolled
9001A ROOSEVELT AVE, 2ND FLOOR, JACKSON HEIGHTS, NY 11372(718) 505-0030(718) 505-0032 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rafael Rodriguez Md NPPES

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

RAFAEL RODRIGUEZ MD (NPI 1144298175) is an individual internal medicine provider in Jackson Heights, New York, licensed in New York (228907) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1144298175
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAFAEL RODRIGUEZCredential: MD
Location Address9001A ROOSEVELT AVE, 2ND FLOORJackson Heights, NY 11372-7426
Mailing Address9001a Roosevelt Ave, 2nd FloorJackson Heights, NY 11372-7426 · (718) 505-0030 · Fax (718) 505-0032
Phone(718) 505-0030
Fax(718) 505-0032
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 8, 2006
Last NPPES UpdateOctober 15, 2010
✔ NPI 1144298175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 228907
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.
9001A ROOSEVELT AVE, Jackson Heights, NY 11372
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Other Identifiers 3

Medicare UPINH98234NY
Medicaid02461109NY
Medicare ID-Type Unspecified06024NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafael Rodriguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284528696
PECOS Enrollment IDI20040209000308
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.

Areas of Expertise CMS Part B claims 4

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.

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272
An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.
90 services88 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.
60 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
57 services57 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
15 services14 patients

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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%78 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%66 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers20 claims52 services$5.16 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims16 services$0.80 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$204.07 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 5

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

LILIANA M DE LA HOZ-AYARZA P.T
Physical Therapist
9001A ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 205-4911
LEFFERTS MEDICAL PRACTICE, LLC
Anesthesiology
9001A ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 205-4911
ISRAEL AVILES MD PC
Clinic/Center (Endoscopy)
9001A ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 396-2005
DR. ISRAEL ANGEL AVILES SANCHEZ M.D.
Specialist
9001A ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 396-2005
MARIA S NAVEDO-RIVERA MD
Physical Medicine & Rehabilitation
9001A ROOSEVELT AVE, 2ND FL
JACKSON HEIGHTS, NY 11372
Queens County (718) 205-4944

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 Rafael Rodriguez's NPI number?

The NPI number for Rafael Rodriguez is 1144298175. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Rafael Rodriguez located?

Rafael Rodriguez practices at 9001A Roosevelt Ave 2nd Floor, Jackson Heights, NY 11372. The listed phone number is (718) 505-0030.

What is Rafael Rodriguez's specialty?

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

Is Rafael Rodriguez enrolled in Medicare?

Yes. Rafael Rodriguez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rafael Rodriguez was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.