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IVAN D RODRIGUEZ D O P A
NPI 1376625780
Family Medicine - Geriatric Medicine in Hialeah, FL

Active since October 19, 2006
7100 W 20TH AVE, SUITE 504, HIALEAH, FL 33016(305) 827-3330(305) 824-4699 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ivan D Rodriguez D O P A NPPES

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

IVAN D RODRIGUEZ D O P A (NPI 1376625780) is a healthcare organization registered as a geriatric medicine in Hialeah, Florida and active in the NPI registry since October 2006. The organization lists Ivan D Rodriguez, President, as its authorized official.

NPPES Registry Identity

NPI1376625780
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameIVAN D RODRIGUEZ D O P A
Location Address7100 W 20TH AVE, SUITE 504Hialeah, FL 33016-1897
Mailing Address7777 Nw 167th TerMiami Lakes, FL 33016-8452 · (305) 824-0706 · Fax (305) 824-4699
Phone(305) 827-3330
Fax(305) 824-4699
Organization SubpartNo
Authorized OfficialIvan D RodriguezPresident · (305) 824-0706
Enumeration DateOctober 19, 2006
Last NPPES UpdateDecember 3, 2007
✔ NPI 1376625780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in FL · OS7908
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
7100 W 20TH AVE, Hialeah, FL 33016
Open in Google Maps ↗

Other Identifiers 3

Medicare PINK4245FL
Medicaid267179400FL
Medicare UPINH08541FL

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 D Rodriguez D O P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ivan D Rodriguez D O P A, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Ivan Rodriguez, D.O.
Family Practice
NPI 1649292012
7100 W 20TH AVE SUITE 504
Hialeah, FL 33016
(305) 827-3330
✔ PECOS✔ Accepts MedicareSame address
Vanessa Samaniego, M.D.
Family Practice
NPI 1306307772
7031 SW 62ND AVE
South Miami, FL 33143
(305) 284-7761
✔ PECOS✔ Accepts Medicare13 mi

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 D Rodriguez D O P A's NPI number?

The NPI number for Ivan D Rodriguez D O P A is 1376625780. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Ivan D Rodriguez D O P A located?

Ivan D Rodriguez D O P A is located at 7100 W 20th Ave Suite 504, Hialeah, FL 33016. The listed phone number is (305) 827-3330.

What is Ivan D Rodriguez D O P A's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Ivan D Rodriguez D O P A enrolled in Medicare?

Yes. Ivan D Rodriguez D O P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ivan D Rodriguez D O P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Ivan D Rodriguez D O P A. 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. Of these, 1 practice at this address. 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 D Rodriguez D O P A was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.