1. Home
  2. Directory
  3. Florida
  4. Miami
  5. Internal Medicine
  6. NPI Profile

HIRAM RODRIGUEZ MD
NPI 1417911173
Internal Medicine in Miami, FL

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
93.63/100
CMS Quality Rating
1475 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136(305) 243-7249(305) 243-8470 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hiram Rodriguez Md NPPES

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

HIRAM RODRIGUEZ MD (NPI 1417911173) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME85278) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1999).

NPPES Registry Identity

NPI1417911173
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHIRAM RODRIGUEZCredential: MD
Location Address1475 NW 12TH AVE, BOX 016960 M851Miami, FL 33136-1002
Mailing Address1475 Nw 12th Ave, Box 016960 M851Miami, FL 33136-1002 · (305) 243-7249 · Fax (305) 243-8470
Phone(305) 243-7249
Fax(305) 243-8470
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1999
Enumeration DateApril 12, 2006
Last NPPES UpdateJanuary 30, 2013
✔ NPI 1417911173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME85278
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1475 NW 12TH AVE, Miami, FL 33136
Open in Google Maps ↗

Other Identifiers 3

Medicaid2649021-00FL
Medicare UPIN16002FL
Medicare UPINH64041FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 and accepts Medicare assignment

Hiram Rodriguez Md 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 ID7618867854
PECOS Enrollment IDI20040319000321
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
310 services168 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services78 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
107 services107 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
49 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services31 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.14
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
2%54 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
78%36 patients4/55-star benchmark: 100%
Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
8%140 patients
Breast Cancer Screening
34%489 patients2/55-star benchmark: 93%
Cervical Cancer Screening
29%677 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
47%1,197 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
69%709 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
21%234 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%234 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,396 patients5/55-star benchmark: 100%
e-Prescribing
98%2,064 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
89%332 patients4/55-star benchmark: 100%
HIV Screening
29%1,538 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
51%1,711 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
38%1,479 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
39%1,537 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 1,644 patients
Patients screened: 100% · 1,644 patients
42%85 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%762 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 19% · 377 patients
Patients totalRate: 20% · 377 patients
19%377 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers30 claims68 services$6.35 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims25 services$1.02 avg. paid by Medicare
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973
DME-Wheelchairs · category DD021N
1 supplier16 claims16 services$2.52 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers12 claims2,127 services$0.03 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier19 claims19 services$16.44 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers14 claims14 services$26.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. ALISSETTE NAVEDA ARNP
Nurse Practitioner (Family)
1475 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-5360
WALTER G BRADLEY
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1475 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136
Miami-Dade County (305) 243-7520
DR. EVAN H SCHLAM MD
Dermatology
1475 NW 12TH AVE, BOX 016960
MIAMI, FL 33136
Miami-Dade County (305) 243-7688
DR. NESTOR RICARDO VILLAMIZAR M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1475 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-2363
MS. LINDSAY MARIE THORNTON MD
Radiology (Vascular & Interventional Radiology)
1475 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-5512
DR. GLENDA C HARRIS PH.D., L.AC.
Acupuncturist
1475 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-1470
IVAYLO MIHAYLOV
Radiology (Radiation Oncology)
1475 NW 12TH AVE, SUITE 1500
MIAMI, FL 33136
Miami-Dade County (305) 243-8223
LOURDES MESTRE VALDES APRN
Nurse Practitioner (Gerontology)
1475 NW 12TH AVE
MIAMI, FL 33136
Miami-Dade County (305) 243-4902

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 Hiram Rodriguez's NPI number?

The NPI number for Hiram Rodriguez is 1417911173. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Hiram Rodriguez located?

Hiram Rodriguez practices at 1475 NW 12th Ave Box 016960 M851, Miami, FL 33136. The listed phone number is (305) 243-7249.

What is Hiram Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hiram Rodriguez enrolled in Medicare?

Yes. Hiram Rodriguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hiram Rodriguez accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Hiram 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 Hiram Rodriguez was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.