EDDIE RODRIGUEZ MD
NPI 1649066739
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since April 16, 2025PECOS Enrolled
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eddie Rodriguez Md NPPES

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

EDDIE RODRIGUEZ MD (NPI 1649066739) is an individual student in an organized health care education/training program in New Haven, Connecticut and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649066739
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDDIE RODRIGUEZCredential: MD
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Sole ProprietorNo
Enumeration DateApril 16, 2025
NPPES CertifiedApril 16, 2025
NPI 1649066739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

20 YORK ST, New Haven, CT 06510

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eddie Rodriguez Md 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.

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.

Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Emergency Medicine
20 YORK ST, YNHH SOUTH PAVILION 218
NEW HAVEN, CT 06510
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPITAL SOUTH PAVILION 218
NEW HAVEN, CT 06510
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, CHILDREN'S HOSPITAL AT YALE, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
Psychiatry & Neurology (Psychiatry)
20 YORK ST
NEW HAVEN, CT 06510
Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL-SOUTH PAVILLION-2ND FL
NEW HAVEN, CT 06510
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPTIAL EMERGENCY DEPARTMENT
NEW HAVEN, CT 06510

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649066739, enumerated as an "individual" on April 16, 2025.

The provider is located at 20 YORK ST NEW HAVEN, CT 06510 and the phone number is (203) 688-4242.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.