JOSE M RODRIGUEZ MD
NPI 1164477113
Family Medicine in Chicago, IL

Q: What is Jose Rodriguez's NPI number?

The NPI number for Jose Rodriguez is 1164477113. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Jose Rodriguez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jose Rodriguez was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 24, 2006PECOS Enrolled

6240 W 55TH ST, CHICAGO, IL 60638(773) 284-2200(773) 284-5833 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jose M Rodriguez Md NPPES

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

JOSE M RODRIGUEZ MD (NPI 1164477113) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036-089962) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164477113

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSE M RODRIGUEZCredential: MD

Location Address6240 W 55TH STChicago, IL 60638-2531

Mailing Address6240 W 55th StChicago, IL 60638-2531 · (773) 284-2200 · Fax (773) 284-5833

Phone(773) 284-2200

Fax(773) 284-5833

Sole ProprietorNo

Enumeration DateMay 24, 2006

Last NPPES UpdateJuly 30, 2012

✔ NPI 1164477113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036-089962

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6240 W 55TH ST, Chicago, IL 60638

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Other Identifiers 3

Medicare PIN367830IL

Medicaid036087962IL

Medicare UPING20448

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose M Rodriguez Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60638 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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

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

6 suppliers16 claims50 services$5.41 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.

SAMANTHA FREDRICKSON PA-C

Family Medicine

6240 W 55TH ST
CHICAGO, IL 60638

Cook County (773) 284-2200

CHRISTINE VERES M.D.

Internal Medicine

6240 W 55TH ST
CHICAGO, IL 60638

Cook County (773) 284-2200

ACCESS COMMUNITY HEALTH NETWORK

Clinic/Center (Federally Qualified Health Center (FQHC))

6240 W 55TH ST
CHICAGO, IL 60638

Cook County (773) 284-2200

JESSICA IRENE REBSTOCK FNP-C

Nurse Practitioner (Family)

6240 W 55TH ST
CHICAGO, IL 60638

Cook County (773) 284-2200

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 Jose Rodriguez's NPI number?

The NPI number for Jose Rodriguez is 1164477113. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Jose Rodriguez located?

Jose Rodriguez practices at 6240 W 55th St, Chicago, IL 60638. The listed phone number is (773) 284-2200.

What is Jose Rodriguez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose Rodriguez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jose Rodriguez was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.