ISMAEL RODRIGUEZ M.D.
NPI 1316938715
Internal Medicine in Orange Park, FL

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
2001 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 396-6620(904) 396-6528 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ismael Rodriguez M.d. NPPES

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

ISMAEL RODRIGUEZ M.D. (NPI 1316938715) is an individual internal medicine provider in Orange Park, Florida, licensed in Florida (ME 72759) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (1995).

NPPES Registry Identity

NPI1316938715
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameISMAEL RODRIGUEZCredential: M.D.
Location Address2001 KINGSLEY AVEOrange Park, FL 32073-5148
Mailing Address1200 Riverplace Blvd, Suite 620Jacksonville, FL 32207-9046 · (904) 396-6620 · Fax (904) 396-6528
Fax(904) 396-6528
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 1995
Enumeration DateNovember 3, 2005
Last NPPES UpdateApril 9, 2015
NPI 1316938715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME 72759
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.

2001 KINGSLEY AVE, Orange Park, FL 32073

Other Identifiers 2

Medicare PIN42772VFL
Medicare UPING67659FL

Accepted 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

Ismael 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 ID1052376878
PECOS Enrollment IDI20041122000312
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 2

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
1,360 services1,277 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
258 services255 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%185 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$917.79 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$17.47 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$7.81 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.

Nurse Practitioner
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Emergency Medicine
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Pathology (Anatomic Pathology & Clinical Pathology)
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Emergency Medicine
2001 KINGSLEY AVE, ORANGE PARK MEDICAL CENTER EMERGENCY DEPARTMENT
ORANGE PARK, FL 32073
Internal Medicine
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Internal Medicine
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
General Acute Care Hospital
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Internal Medicine
2001 KINGSLEY AVE
ORANGE PARK, FL 32073

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 Ismael Rodriguez's NPI number?

The NPI number for Ismael Rodriguez is 1316938715. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Ismael Rodriguez located?

Ismael Rodriguez practices at 2001 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 396-6620.

What is Ismael Rodriguez's specialty?

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

Is Ismael Rodriguez enrolled in Medicare?

Yes. Ismael 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 Ismael Rodriguez accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Ismael 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.

When was this NPI record last updated?

The NPPES record for Ismael Rodriguez was last updated on April 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.