DR. JAYSON DIVINO RODRIGUEZ M.D.
NPI 1417278458
Psychiatry & Neurology - Neurology in Shreveport, LA

Q: What is Jayson Rodriguez's NPI number?

The NPI number for Jayson Rodriguez is 1417278458. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Q: What is Jayson Rodriguez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Jayson Rodriguez was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 June 14, 2010PECOS EnrolledAccepts Medicare Assignment

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2024, Jun 21, 2017, Sep 28, 2016 and 1 more (4 updates tracked since 2015).

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About Dr. Jayson Divino Rodriguez M.d. NPPES

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

DR. JAYSON DIVINO RODRIGUEZ M.D. (NPI 1417278458) is an individual neurology provider in Shreveport, Louisiana, licensed in Louisiana (301146) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Shreveport, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1417278458

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. JAYSON DIVINO RODRIGUEZCredential: M.D.

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address1541 Kings HwyShreveport, LA 71103-4228 · Fax (318) 675-5069

Phone(318) 626-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJune 14, 2010

Last NPPES UpdateAugust 23, 20244 updates tracked since enumeration

NPPES CertifiedAugust 23, 2024

✔ NPI 1417278458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in LA · 301146✔ Licensed in SC · LL32639

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1541 KINGS HWY, Shreveport, LA 71103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jayson Divino Rodriguez M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890092712

PECOS Enrollment IDI20160321001291

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional 95720

This procedure monitors brain wave activity over 12-26 hours using Video EEG (VEEG). It involves recording brain waves and video to detect irregularities. A healthcare professional will review the data and provide a report. It's non-invasive and safe.

32 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lsu Health Shreveport

Acute Care Hospitals · Shreveport, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190098

Location1541 Kings HighwayShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Ochsner Lsu Health Shreveport-St Mary Medical Cent

Acute Care Hospitals · Shreveport, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190317

Location911 Margaret PlaceShreveport, LA 71101 · Caddo County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)