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GILBERTO RODRIGUEZ M.D.
NPI 1205833597
Internal Medicine - Infectious Disease in Miami, FL

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
97.62/100
CMS Quality Rating
7800 SW 87TH AVE, B260, MIAMI, FL 33173(305) 595-4590(305) 279-2278 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gilberto Rodriguez M.d. NPPES

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

GILBERTO RODRIGUEZ M.D. (NPI 1205833597) is an individual infectious disease provider in Miami, Florida, licensed in Florida (ME0072098) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Ponce School Of Medicine (1993).

NPPES Registry Identity

NPI1205833597
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameGILBERTO RODRIGUEZCredential: M.D.
Location Address7800 SW 87TH AVE, B260Miami, FL 33173-3570
Mailing Address7800 Sw 87th Ave, B260Miami, FL 33173-3570 · (305) 595-4590 · Fax (305) 279-2278
Phone(305) 595-4590
Fax(305) 279-2278
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1993
Enumeration DateJuly 1, 2005
Last NPPES UpdateOctober 4, 2007
✔ NPI 1205833597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME0072098
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
7800 SW 87TH AVE, Miami, FL 33173
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Other Identifiers 2

Medicare UPING86097FL
Medicare PIN44951

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gilberto 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 ID6901900901
PECOS Enrollment IDI20100616000688
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 6

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.
678 services267 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
307 services288 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.
62 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services29 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
14 services12 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

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

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33173 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.

97.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.52
Improvement Activities40
Cost79.38

Referred Medical Equipment & Supplies CMS DME claims 2

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

Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg J1557
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims960 services$39.55 avg. paid by Medicare
Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$309.35 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.

VALERIE ANN PALERMO
Physician Assistant
7800 SW 87TH AVE
MIAMI, FL 33173
Miami-Dade County (305) 271-4711
STEPHANIE DECHURCH MD
Pediatrics
7800 SW 87TH AVE, C-350
MIAMI, FL 33173
Miami-Dade County (305) 271-4711
SHERYL ARNOLD TURNER PA-C
Physician Assistant
7800 SW 87TH AVE, S. C300
MIAMI, FL 33173
Miami-Dade County (305) 274-0221
JANNEL PICHARDO P.A-C
Physician Assistant (Medical)
7800 SW 87TH AVE, SUITE A-100
MIAMI, FL 33173
Miami-Dade County (305) 273-7998
DR. GEOFFREY NIGEL JAMES M.D.
Obstetrics & Gynecology
7800 SW 87TH AVE, STE A-120
MIAMI, FL 33173
Miami-Dade County (305) 412-6004
DR. STACEY R MURRAY M.D.
Internal Medicine
7800 SW 87TH AVE, SUITE C320
MIAMI, FL 33173
Miami-Dade County (305) 598-8787
MRS. THERESA LIGHTBODY A.R.N.P.
Nurse Practitioner
7800 SW 87TH AVE, SUITE C-340
MIAMI, FL 33173
Miami-Dade County (305) 595-0109
DR. MARK P YOUNG M.D.
Allergy & Immunology
7800 SW 87TH AVE, SUITE C-340
MIAMI, FL 33173
Miami-Dade County (305) 595-0109

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 Gilberto Rodriguez's NPI number?

The NPI number for Gilberto Rodriguez is 1205833597. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Gilberto Rodriguez located?

Gilberto Rodriguez practices at 7800 SW 87th Ave B260, Miami, FL 33173. The listed phone number is (305) 595-4590.

What is Gilberto Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Gilberto Rodriguez enrolled in Medicare?

Yes. Gilberto 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.

What insurance does Gilberto Rodriguez accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Gilberto 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 Gilberto Rodriguez affiliated with any hospitals?

According to CMS data, Gilberto Rodriguez is affiliated with Baptist Hospital Of Miami, South Miami Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Gilberto Rodriguez was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.