MR. ROBERT MICHAEL RODRIGUEZ RN
NPI 1366023574
Nurse Practitioner - Gerontology in Orangeburg, SC
About Mr. Robert Michael Rodriguez Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ROBERT MICHAEL RODRIGUEZ RN (NPI 1366023574) is an individual gerontology provider in Orangeburg, South Carolina, licensed in South Carolina (28254) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Mr. Robert Michael Rodriguez Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Robert Rodriguez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Columbia, SC 29169
- Reassigned Medicare billing, South Carolina enrollment
- 7 clinicians in this Medicare group
Charleston, SC 29414
- Reassigned Medicare billing, South Carolina enrollment
- Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
- 2,594 clinicians in this Medicare group
Suwanee, GA 30024
- Reassigned Medicare billing, South Carolina enrollment
- 3 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 29118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ORANGEBURG, SC 29118
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 Robert Rodriguez's NPI number?
The NPI number for Robert Rodriguez is 1366023574. It was assigned to this individual provider in the NPPES registry on April 19, 2021.
Where is Robert Rodriguez located?
Robert Rodriguez practices at 1773 Village Park Dr, Orangeburg, SC 29118. The listed phone number is (803) 535-3600.
What is Robert Rodriguez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Robert Rodriguez enrolled in Medicare?
Yes. Robert Rodriguez is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Robert Rodriguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Rodriguez reassigns Medicare benefits to 3 organizations: Pivotal Injury And Rehab Inc (West Columbia, SC), University Medical Associates (Charleston, SC) and Vitality Ageless Center LLC (Suwanee, GA). Each 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 Robert Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Rodriguez accept?
Health plans from First Choice Next list Robert 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 Robert Rodriguez was last updated on October 17, 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.
# Mr. Robert Michael Rodriguez, RN · NPI 1366023574
Gerontology physician in Orangeburg, South Carolina. Individual provider, active in the CMS NPPES registry since April 19, 2021.
## Identity
- **NPI:** 1366023574 (Entity type: Individual)
- **Enumerated:** April 19, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 28254 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1773 VILLAGE PARK DR, Orangeburg, SC 29118-2475
- **Phone:** (803) 535-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pivotal Injury And Rehab Inc (NPI 1386150613, West Columbia, SC); University Medical Associates (NPI 1760413835, Charleston, SC); Vitality Ageless Center LLC (NPI 1730657271, Suwanee, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366023574) · Data from the CMS NPPES public registry.