ABRAHAM R RODRIGUEZ MD
NPI 1326155870
Pediatrics in Beloit, WI

Active since August 23, 2006PECOS Enrolled
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 53511(608) 364-2220(608) 363-7368 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Abraham R Rodriguez Md NPPES

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

ABRAHAM R RODRIGUEZ MD (NPI 1326155870) is an individual pediatrics provider in Beloit, Wisconsin, licensed in Wisconsin (38729020) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326155870
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameABRAHAM R RODRIGUEZCredential: MD
Location Address1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INCBeloit, WI 53511-1842
Mailing Address1905 E. Huebbe Parkway, Beloit Health System IncBeloit, WI 53511-1842 · (608) 364-2220 · Fax (608) 363-7368
Fax(608) 363-7368
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateOctober 20, 2011
✔ NPI 1326155870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 38729020✔ Licensed in IL · 036-097612
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1905 E. HUEBBE PARKWAY, Beloit, WI 53511

Other Identifiers 2

Medicare UPING52311
Medicaid1326155870WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Abraham Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1905 E HUEBBE PKWY
Beloit, WI 53511
  • Reassigned Medicare billing, Wisconsin and Illinois enrollments
  • Also billed through NPI 1841485984 (Illinois)
  • 194 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Internal Medicine (Infectious Disease)
1905 E. HUEBBE PARKWAY, BELOIT CLINIC
BELOIT, WI 53511
Internal Medicine (Gastroenterology)
1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Internal Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Family Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
Family Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC
BELOIT, WI 53511
Optometrist
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Internal Medicine (Cardiovascular Disease)
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Family Medicine
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

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 Abraham Rodriguez's NPI number?

The NPI number for Abraham Rodriguez is 1326155870. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Abraham Rodriguez located?

Abraham Rodriguez practices at 1905 E. Huebbe Parkway Beloit Health System Inc, Beloit, WI 53511. The listed phone number is (608) 364-2220.

What is Abraham Rodriguez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Abraham Rodriguez enrolled in Medicare?

Yes. Abraham Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Abraham Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abraham Rodriguez reassigns Medicare benefits to Beloit Health System Inc (Beloit, WI). 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 Abraham Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abraham Rodriguez accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Group Health Cooperative-SCW and Quartz list Abraham 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 Abraham Rodriguez was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.