IVAN R RODRIGUEZ MD PA
NPI 1235775883
Internal Medicine in Miami, FL

Active since November 19, 2019
12002 SW 128TH CT STE 204, MIAMI, FL 33186(305) 234-8264(305) 255-1752 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 30, 2023, Nov 19, 2019 (2 updates tracked since 2019).

About Ivan R Rodriguez Md Pa NPPES

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

IVAN R RODRIGUEZ MD PA (NPI 1235775883) is a healthcare organization registered as an internal medicine in Miami, Florida and active in the NPI registry since November 2019. The organization lists Ivan R Rodriguez, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1235775883
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIVAN R RODRIGUEZ MD PA
Location Address12002 SW 128TH CT STE 204Miami, FL 33186-4643
Mailing Address12002 Sw 128th Ct Ste 204Miami, FL 33186-4643 · (305) 234-8264 · Fax (305) 255-1752
Fax(305) 255-1752
Organization SubpartNo
Authorized OfficialIvan R RodriguezOwner/president · (305) 234-8264
Enumeration DateNovember 19, 2019
Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1235775883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12002 SW 128TH CT STE 204, Miami, FL 33186

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivan R Rodriguez Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Ivan R Rodriguez MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1205260221
12002 SW 128TH CT STE 204
Miami, FL 33186
(305) 234-8264
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ivan R Rodriguez MD PA's NPI number?

The NPI number for Ivan R Rodriguez MD PA is 1235775883. It was assigned to this organization in the NPPES registry on November 19, 2019.

Where is Ivan R Rodriguez MD PA located?

Ivan R Rodriguez MD PA is located at 12002 SW 128th Ct Ste 204, Miami, FL 33186. The listed phone number is (305) 234-8264.

What is Ivan R Rodriguez MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ivan R Rodriguez MD PA enrolled in Medicare?

Yes. Ivan R Rodriguez MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ivan R Rodriguez MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Ivan R Rodriguez MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ivan R Rodriguez MD PA was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.