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IDELKA GRISSELLE RODRIGUEZ MD
NPI 1679976682
Family Medicine - Geriatric Medicine in Hawthorne, NY

Active since October 03, 2014PECOS Enrolled
19 SKYLINE DR, HAWTHORNE, NY 10532(914) 828-0435(914) 745-0899 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Idelka Grisselle Rodriguez Md NPPES

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

IDELKA GRISSELLE RODRIGUEZ MD (NPI 1679976682) is an individual geriatric medicine provider in Hawthorne, New York, licensed in New York (277621) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679976682
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameIDELKA GRISSELLE RODRIGUEZCredential: MD
Location Address19 SKYLINE DRHawthorne, NY 10532-2134
Mailing Address19 Skyline DrHawthorne, NY 10532-2134 · (914) 828-0435 · Fax (914) 745-0899
Phone(914) 828-0435
Fax(914) 745-0899
Sole ProprietorNo
Enumeration DateOctober 3, 2014
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1679976682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in NY · 277621
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
19 SKYLINE DR, Hawthorne, NY 10532
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Other Names 1

Former Name (1)Idelka Griselle Rodriguez-rosario M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idelka Grisselle 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.

Medicare Billing Reassignment

Medicare enrollment records show Idelka Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
15 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10532 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

DR. ALLYSON M FLOWER M.D.
Pediatrics (Pediatric Hematology-Oncology)
19 SKYLINE DR, 1N-J08
HAWTHORNE, NY 10532
Westchester County (914) 493-7997
KARELYN S GERMOSEN-THEN DDS
Dentist
19 SKYLINE DR
HAWTHORNE, NY 10532
Westchester County (914) 594-2699
TOURO COLLEGE OF DENTAL MEDICINE FACULTY PRACTICE CORPORATION
Dentist
19 SKYLINE DR
HAWTHORNE, NY 10532
Westchester County (914) 594-2700
DR. MICHAEL IAN ISRAEL D.M.D
Dentist (General Practice)
19 SKYLINE DR
HAWTHORNE, NY 10532
Westchester County (914) 594-2700
ALEENA PAUL M.D.
Internal Medicine
19 SKYLINE DR
HAWTHORNE, NY 10532
Westchester County (914) 828-0435
GOLDA ATARA ERDFARB DDS
Dentist
19 SKYLINE DR
HAWTHORNE, NY 10532
Westchester County (914) 594-1000
DR. MELISSA LEVINE DDS
Dentist (Pediatric Dentistry)
19 SKYLINE DR
HAWTHORNE, NY 10532
Westchester County (914) 549-2631
SANDRA KHUU DMD
Dentist (Oral and Maxillofacial Pathology)
19 SKYLINE DR
HAWTHORNE, NY 10532
Westchester County (914) 594-2699

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 Idelka Rodriguez's NPI number?

The NPI number for Idelka Rodriguez is 1679976682. It was assigned to this individual provider in the NPPES registry on October 3, 2014. The provider is also known as Idelka Griselle Rodriguez-Rosario M.D..

Where is Idelka Rodriguez located?

Idelka Rodriguez practices at 19 Skyline Dr, Hawthorne, NY 10532. The listed phone number is (914) 828-0435.

What is Idelka Rodriguez's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Idelka Rodriguez enrolled in Medicare?

Yes. Idelka Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Idelka Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Idelka Rodriguez reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The 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 Idelka Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Idelka Rodriguez was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.