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PEDRO ALONZO RODRIGUEZ PA-C
NPI 1386456499
Physician Assistant in Vicksburg, MS

Active since January 24, 2025PECOS Enrolled
2100 US-61, VICKSBURG, MS 39183(601) 883-5000 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pedro Alonzo Rodriguez Pa-c NPPES

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

PEDRO ALONZO RODRIGUEZ PA-C (NPI 1386456499) is an individual physician assistant in Vicksburg, Mississippi, licensed in Mississippi (PA00888) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386456499
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePEDRO ALONZO RODRIGUEZCredential: PA-C
Location Address2100 US-61Vicksburg, MS 39183
Mailing Address135 Bremen WayMadison, MS 39110-6949 · (662) 251-5417
Phone(601) 883-5000
Sole ProprietorYes
Enumeration DateJanuary 24, 2025
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1386456499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MS · PA00888
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2100 US-61, Vicksburg, MS 39183
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Other Names 1

Former Name (1)Pedro Alozo Rodriguez

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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)

Pedro Alonzo Rodriguez Pa-c 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 39183 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
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 2

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

BHAVYA A PARIKH
Internal Medicine
2100 US-61
VICKSBURG, MS 39183
Warren County (601) 883-5000
TK SURGICAL SOLUTIONS
Specialist/Technologist, Other (Surgical Assistant)
2100 US-61
VICKSBURG, MS 39183
Warren County (208) 410-0569

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 Pedro Rodriguez's NPI number?

The NPI number for Pedro Rodriguez is 1386456499. It was assigned to this individual provider in the NPPES registry on January 24, 2025. The provider is also known as Pedro Alozo Rodriguez.

Where is Pedro Rodriguez located?

Pedro Rodriguez practices at 2100 Us-61, Vicksburg, MS 39183. The listed phone number is (601) 883-5000.

What is Pedro Rodriguez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Pedro Rodriguez enrolled in Medicare?

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

What insurance does Pedro Rodriguez accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Pedro 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 Pedro Rodriguez was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.