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SANDRA RODRIGUEZ M.D.
NPI 1164715462
Internal Medicine - Gastroenterology in Homestead, FL

Active since May 18, 2011PECOS EnrolledAccepts Medicare Assignment
99.93/100
CMS Quality Rating
925 NE 30TH TER STE 204, HOMESTEAD, FL 33033(786) 500-4644(786) 530-6862 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 10, 2024, Jan 12, 2021, Jul 17, 2018 (3 updates tracked since 2018).

About Sandra Rodriguez M.d. NPPES

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

SANDRA RODRIGUEZ M.D. (NPI 1164715462) is an individual gastroenterology provider in Homestead, Florida, licensed in Florida (ME132973) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1164715462
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSANDRA RODRIGUEZCredential: M.D.
Location Address925 NE 30TH TER STE 204Homestead, FL 33033-7614
Mailing Address815 N Homestead Blvd Unit 448Homestead, FL 33030-5024 · (786) 500-4644 · Fax (786) 530-6862
Phone(786) 500-4644
Fax(786) 530-6862
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 18, 2011
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1164715462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME132973
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.
925 NE 30TH TER STE 204, Homestead, FL 33033
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Sandra 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 ID4880908508
PECOS Enrollment IDI20181211003304
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 Reassignment

Medicare enrollment records show Sandra Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Digestive & Liver Wellness PA
Same address
Gastroenterology
925 NE 30TH TER STE 204
Homestead, FL 33033
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1477174662 (786) 500-4644

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
241 services119 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
188 services125 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
153 services146 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
94 services94 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
45 services45 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
30 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Homestead Hospital

Acute Care Hospitals · Homestead, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100125
Location975 Baptist WayHomestead, FL 33033 · Miami-Dade County
Emergency services Birthing friendly

Fishermen's Community Hospital

Critical Access Hospitals · Marathon, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101312
Location3301 Overseas HwyMarathon, FL 33050 · Monroe County
Emergency services

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33033 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DIGESTIVE & LIVER WELLNESS PA
Internal Medicine (Gastroenterology)
925 NE 30TH TER STE 204
HOMESTEAD, FL 33033
Miami-Dade County (786) 500-4644
MRS. DAYANA GONZALEZ PEREZ PA-C
Physician Assistant
925 NE 30TH TER STE 204
HOMESTEAD, FL 33033
Miami-Dade County (305) 974-4822

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 Sandra Rodriguez's NPI number?

The NPI number for Sandra Rodriguez is 1164715462. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Sandra Rodriguez located?

Sandra Rodriguez practices at 925 NE 30th Ter Ste 204, Homestead, FL 33033. The listed phone number is (786) 500-4644.

What is Sandra Rodriguez's specialty?

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

Is Sandra Rodriguez enrolled in Medicare?

Yes. Sandra 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 organization bills Medicare for Sandra Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Rodriguez reassigns Medicare benefits to Digestive & Liver Wellness PA (Homestead, FL). The 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 Sandra Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Rodriguez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Sandra 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 Sandra Rodriguez affiliated with any hospitals?

According to CMS data, Sandra Rodriguez is affiliated with Jackson Health System, Homestead Hospital, Fishermen's Community Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Sandra Rodriguez was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.