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DR. OLAF RODRIGUEZ MD
NPI 1144780594
Dermatology in Urbana, IL

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
1111 W KENYON RD, URBANA, IL 61801(217) 819-3376 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2021, Jun 7, 2019, Mar 21, 2019 (3 updates tracked since 2019).

About Dr. Olaf Rodriguez Md NPPES

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

DR. OLAF RODRIGUEZ MD (NPI 1144780594) is an individual dermatology provider in Urbana, Illinois, licensed in Illinois (036171478) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2019).

NPPES Registry Identity

NPI1144780594
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. OLAF RODRIGUEZCredential: MD
Location Address1111 W KENYON RDUrbana, IL 61801-1004
Mailing Address1111 W Kenyon RdUrbana, IL 61801-1004
Phone(217) 819-3376
Sole ProprietorYes
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateJanuary 29, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
✔ NPI 1144780594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036171478
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 036171478 (IL)
1111 W KENYON RD, Urbana, IL 61801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

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

Dr. Olaf Rodriguez Md 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 ID8224451661
PECOS Enrollment IDI20240919000178, I20250117001230, I20250117001426, I20250128002326
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

2

Medicare enrollment records show Olaf Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vitalskin Medical Group Il PLLC
45 mi
Dermatology
917 REMINGTON RD
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois, Missouri, Indiana and Kentucky enrollments
  • Also billed through NPI 1477297083 (Kentucky)
  • 30 clinicians in this Medicare group
NPI 1063030252 (217) 205-3376
Soderstrom Dermatology Center S C
85 mi
Dermatology
4909 N GLEN PARK PLACE RD
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 31 clinicians in this Medicare group
NPI 1710931670 (309) 674-7546

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

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
31 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Olaf Rodriguez's NPI number?

The NPI number for Olaf Rodriguez is 1144780594. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Olaf Rodriguez located?

Olaf Rodriguez practices at 1111 W Kenyon Rd, Urbana, IL 61801. The listed phone number is (217) 819-3376.

What is Olaf Rodriguez's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Olaf Rodriguez enrolled in Medicare?

Yes. Olaf 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 Olaf Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olaf Rodriguez reassigns Medicare benefits to 2 organizations: Vitalskin Medical Group Il PLLC (Mattoon, IL) and Soderstrom Dermatology Center S C (Peoria, IL). 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 Olaf Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olaf Rodriguez accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Olaf 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.

When was this NPI record last updated?

The NPPES record for Olaf Rodriguez was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.