DR. JOHN RODRIGUEZ M.D.
NPI 1427210251
Internal Medicine - Clinical Cardiac Electrophysiology in Lincoln, RI

Q: What is John Rodriguez's NPI number?

The NPI number for John Rodriguez is 1427210251. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Q: What is John Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for John Rodriguez was last updated on January 17, 2025. 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 July 02, 2008PECOS EnrolledAccepts Medicare Assignment

6 BLACKSTONE VALLEY PL STE 105, LINCOLN, RI 02865(401) 762-3838(401) 762-8252 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2020, Nov 25, 2019, Dec 19, 2017 and 2 more (5 updates tracked since 2016).

On this page

About Dr. John Rodriguez M.d. NPPES

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

DR. JOHN RODRIGUEZ M.D. (NPI 1427210251) is an individual clinical cardiac electrophysiology provider in Lincoln, Rhode Island, licensed in Rhode Island (MD14964) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and maintains a secondary practice location in Cranston.

NPPES Registry Identity

NPI1427210251

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameDR. JOHN RODRIGUEZCredential: M.D.

Location Address6 BLACKSTONE VALLEY PL STE 105Lincoln, RI 02865-1112

Mailing Address6 Blackstone Valley Pl Ste 105Lincoln, RI 02865-1112 · (401) 762-3838 · Fax (401) 762-8252

Phone(401) 762-3838

Fax(401) 762-8252

Sole ProprietorYes

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2007

Enumeration DateJuly 2, 2008

Last NPPES UpdateJanuary 17, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2025

✔ NPI 1427210251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

Licenses✔ Licensed in RI · MD14964✔ Licensed in MA · 269115

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 269115 (MA), MD14964 (RI)

6 BLACKSTONE VALLEY PL STE 105, Lincoln, RI 02865

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Secondary Practice Location 1

Location 1395 Atwood AveCranston, RI 02920 · Phone (401) 464-9751 · Fax (401) 464-9755

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John 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 ID4486849098

PECOS Enrollment IDI20191209002062

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.

Medicare Billing Reassignments

Medicare enrollment records show John Rodriguez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Institute Of New England PC

Same address

Cardiovascular Disease

6 BLACKSTONE VALLEY PL STE 105
Lincoln, RI 02865

Reassigned Medicare billing, Rhode Island enrollment
18 clinicians in this Medicare group

NPI 1699923656 (401) 762-3838

Prospect Chartercare Sjhsri, LLC

5.7 mi

Cardiovascular Disease

200 HIGH SERVICE AVE
North Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
12 clinicians in this Medicare group

NPI 1578988572 (401) 456-3000

Chartercare Our Lady Of Fatima Hospital

5.8 mi

Cardiovascular Disease

200 HIGH SERVICE AVE
North Providence, RI 02904

Reassigned Medicare billing, Rhode Island enrollment
69 clinicians in this Medicare group

NPI 1255160115 (401) 456-3000

Chartercare Roger Williams Medical Center

7.3 mi

Internal Medicine

825 CHALKSTONE AVE
Providence, RI 02908

Reassigned Medicare billing, Rhode Island enrollment
96 clinicians in this Medicare group

NPI 1649009507 (401) 456-2000

Prospect Chartercare Rwmc, LLC

7.3 mi

Internal Medicine

825 CHALKSTONE AVE
Providence, RI 02908

Reassigned Medicare billing, Rhode Island enrollment
162 clinicians in this Medicare group

NPI 1285059287 (401) 456-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

191 services159 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.

168 services118 patients

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.

146 services115 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

56 services54 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

50 services50 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

48 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

39 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services17 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

19 services15 patients

Evaluation of implantable heart and blood vessel monitoring system 93290

An evaluation of an implantable heart and blood vessel monitoring system involves checking the device that's placed inside your body to monitor your heart and blood vessels' health. It helps doctors track your heart rate, rhythm, and blood flow, aiding in prompt, accurate treatment.

17 services13 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number410004

Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County

Emergency services

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410005

Location200 High Service AvenueNorth Providence, RI 02904 · Providence County

Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

Landmark Medical Center

Acute Care Hospitals · Woonsocket, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410011

Location115 Cass AvenueWoonsocket, RI 02895 · Providence County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02865 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 4

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

DR. ANISH ADHIKARI MD

Internal Medicine (Interventional Cardiology)

6 BLACKSTONE VALLEY PL STE 105
LINCOLN, RI 02865

Providence County (401) 762-3838

CARDIOVASCULAR INSTITUTE OF NEW ENGLAND PC

Internal Medicine (Cardiovascular Disease)

6 BLACKSTONE VALLEY PL STE 105
LINCOLN, RI 02865

Providence County (401) 762-3838

HOSHANG FARHAD MD

Internal Medicine (Cardiovascular Disease)

6 BLACKSTONE VALLEY PL STE 105
LINCOLN, RI 02865

Providence County (401) 333-3111

JOSEPH P MAZZA MD

Internal Medicine (Cardiovascular Disease)

6 BLACKSTONE VALLEY PL STE 105
LINCOLN, RI 02865

Providence County (401) 762-3838

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 John Rodriguez's NPI number?

The NPI number for John Rodriguez is 1427210251. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is John Rodriguez located?

John Rodriguez practices at 6 Blackstone Valley Pl Ste 105, Lincoln, RI 02865. The listed phone number is (401) 762-3838.

What is John Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is John Rodriguez enrolled in Medicare?

Yes. John 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.

Which organizations bill Medicare for John Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Rodriguez reassigns Medicare benefits to 5 organizations: Cardiovascular Institute Of New England PC (Lincoln, RI), Prospect Chartercare Sjhsri, LLC (North Providence, RI), Chartercare Our Lady Of Fatima Hospital (North Providence, RI), Chartercare Roger Williams Medical Center (Providence, RI) and Prospect Chartercare Rwmc, LLC (Providence, RI). Each 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 John Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Rodriguez accept?

Health plans from Taro Health list John 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.

Is John Rodriguez affiliated with any hospitals?

According to CMS data, John Rodriguez is affiliated with Roger Williams Medical Center, Our Lady Of Fatima Hospital, Rhode Island Hospital, Landmark Medical Center and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for John Rodriguez was last updated on January 17, 2025. 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.