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MR. MIGUEL DE JESUS RODRIGUEZ MD
NPI 1205815529
Internal Medicine - Gastroenterology in Miami, FL

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
8525 SW 92ND ST, SUITE C-10, MIAMI, FL 33156(305) 274-7800(305) 270-1246 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Miguel De Jesus Rodriguez Md NPPES

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

MR. MIGUEL DE JESUS RODRIGUEZ MD (NPI 1205815529) is an individual gastroenterology provider in Miami, Florida, licensed in Florida (ME68746) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1205815529
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMR. MIGUEL DE JESUS RODRIGUEZCredential: MD
Location Address8525 SW 92ND ST, SUITE C-10Miami, FL 33156-7378
Mailing Address8525 Sw 92nd Street, Suite C-10Miami, FL 33156-7378 · (305) 274-7800 · Fax (305) 270-1246
Phone(305) 274-7800
Fax(305) 270-1246
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJanuary 13, 2006
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1205815529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME68746
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME68746 (FL)
8525 SW 92ND ST, Miami, FL 33156
Open in Google Maps ↗

Other Identifiers 1

Medicaid378851200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Wellpoint.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

Mr. Miguel De Jesus 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 ID9234204801
PECOS Enrollment IDI20080915000442
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 Miguel Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Miami Gastroenterology Consultants, PA
Same address
Gastroenterology
8525 SW 92 ST, SUITE C10
Miami, FL 33156
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1720160864 (305) 274-7800

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 11

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.
283 services73 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.
231 services139 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.
107 services89 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.
93 services82 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.
79 services79 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.
44 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · 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

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

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 33156 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers18 claims521 services$0.29 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,650 services$0.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers17 claims17 services$17.78 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$11.57 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 20

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

MS. ANIA FERNANDEZ-MAITIN MD
Family Medicine
8525 SW 92ND ST, STE B-4
MIAMI, FL 33156
Miami-Dade County (305) 279-7446
LILIANNE SOBRADO M D P A
Clinic/Center (Medical Specialty)
8525 SW 92ND ST, SUITE D 17
MIAMI, FL 33156
Miami-Dade County (305) 270-0402
ALBERTO F GUERRERO ARNP
Nurse Practitioner
8525 SW 92ND ST, SUITE D13
MIAMI, FL 33156
Miami-Dade County (305) 279-2621
DR. HOWARD WILLIAM POPP M.D.
Anesthesiology
8525 SW 92ND ST, SUITE A-1
MIAMI, FL 33156
Miami-Dade County (305) 275-9990
SAMIRA KASKEL
Psychologist (School)
8525 SW 92ND ST, SUITE A-3
MIAMI, FL 33156
Miami-Dade County (305) 803-8627
JAY CONRAD FRANKLIN MD
Pediatrics
8525 SW 92ND ST, SUITE D14
MIAMI, FL 33156
Miami-Dade County (305) 271-4904
MANUEL J BACALLAO M.D., L.L.C.
Family Medicine
8525 SW 92ND ST, SUITE B-4
MIAMI, FL 33156
Miami-Dade County (305) 279-7446
SHELLA ALAM PA
Physician Assistant (Medical)
8525 SW 92ND ST, SUITE C10
MIAMI, FL 33156
Miami-Dade County (305) 274-7800

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 Miguel Rodriguez's NPI number?

The NPI number for Miguel Rodriguez is 1205815529. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Miguel Rodriguez located?

Miguel Rodriguez practices at 8525 SW 92nd St Suite C-10, Miami, FL 33156. The listed phone number is (305) 274-7800.

What is Miguel Rodriguez's specialty?

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

Is Miguel Rodriguez enrolled in Medicare?

Yes. Miguel 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 Miguel Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Rodriguez reassigns Medicare benefits to Miami Gastroenterology Consultants, PA (Miami, 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 Miguel Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miguel Rodriguez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Miguel 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 Miguel Rodriguez affiliated with any hospitals?

According to CMS data, Miguel Rodriguez is affiliated with Baptist Hospital Of Miami, Homestead Hospital, South Miami Hospital, West Kendall Baptist Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Miguel Rodriguez was last updated on May 1, 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.