DR. RYAN GUSTAVO RODRIGUEZ MD
NPI 1558866517
Surgery - Surgical Critical Care in Tampa, FL

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624(800) 991-6117(888) 812-8191 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 20, 2026, Mar 29, 2018 (2 updates tracked since 2018).

About Dr. Ryan Gustavo Rodriguez Md NPPES

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

DR. RYAN GUSTAVO RODRIGUEZ MD (NPI 1558866517) is an individual surgical critical care provider in Tampa, Florida, licensed in Florida (ME166833) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1558866517
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. RYAN GUSTAVO RODRIGUEZCredential: MD
Location Address3820 NORTHDALE BLVD STE 201Tampa, FL 33624-1893
Mailing Address3820 Northdale Blvd Ste 201Tampa, FL 33624-1893 · (800) 991-6117 · Fax (888) 812-8191
Fax(888) 812-8191
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1558866517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in FL · ME166833
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedPhlebologyTaxonomy 202K00000X · License ME166833 (FL)
3820 NORTHDALE BLVD STE 201, Tampa, FL 33624

Accepted 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. Ryan Gustavo 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 ID648522474
PECOS Enrollment IDI20250828004107
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

2

Medicare enrollment records show Ryan Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vascular Surgery
3657 MADACA LN
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 44 clinicians in this Medicare group
Pulmonary Disease
4129 N ARMENIA AVE, STE B
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 31 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES

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

Specialist
3820 NORTHDALE BLVD STE 201
TAMPA, FL 33624

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 Ryan Rodriguez's NPI number?

The NPI number for Ryan Rodriguez is 1558866517. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Ryan Rodriguez located?

Ryan Rodriguez practices at 3820 Northdale Blvd Ste 201, Tampa, FL 33624. The listed phone number is (800) 991-6117.

What is Ryan Rodriguez's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Ryan Rodriguez enrolled in Medicare?

Yes. Ryan 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 Ryan Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Rodriguez reassigns Medicare benefits to 2 organizations: Wazni, PLLC (Tampa, FL) and Tampa Lung Specialists, P.A. (Tampa, FL). 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 Ryan Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Rodriguez accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Ryan 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 Ryan Rodriguez was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.