MR. ROBERT MICHAEL RODRIGUEZ RN
NPI 1366023574
Nurse Practitioner - Gerontology in Orangeburg, SC

Q: 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.

Q: What is Robert Rodriguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: 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 21 months 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.

Active since April 19, 2021PECOS Enrolled

1773 VILLAGE PARK DR, ORANGEBURG, SC 29118(803) 535-3600 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1366023574

Entity TypeIndividualMale

Primary Taxonomy363LG0600X

Provider Legal NameMR. ROBERT MICHAEL RODRIGUEZCredential: RN

Location Address1773 VILLAGE PARK DROrangeburg, SC 29118-2475

Mailing Address119 Marshside DrSummerville, SC 29485-6254 · (410) 913-2894

Phone(803) 535-3600

Sole ProprietorYes

Enumeration DateApril 19, 2021

Last NPPES UpdateOctober 17, 2024

NPPES CertifiedOctober 17, 2024

✔ NPI 1366023574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in SC · 28254

1773 VILLAGE PARK DR, Orangeburg, SC 29118

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert Michael Rodriguez Rn 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.

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.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TAMMYE JANENE BUSBY MSN, APRN, FNP-BC

Family Medicine