RAFAEL L RODRIGUEZ PA
NPI 1750442711
Physician Assistant - Medical in Little Rock, AR

Q: What is Rafael Rodriguez's NPI number?

The NPI number for Rafael Rodriguez is 1750442711. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Q: What is Rafael Rodriguez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Rafael Rodriguez was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment

4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205(501) 686-8000 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Rafael L Rodriguez Pa NPPES

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

RAFAEL L RODRIGUEZ PA (NPI 1750442711) is an individual medical provider in Little Rock, Arkansas, licensed in Arkansas (PA-965) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1750442711

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameRAFAEL L RODRIGUEZCredential: PA

Location Address4301 W MARKHAM ST # 783Little Rock, AR 72205-7101

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101

Phone(501) 686-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateDecember 13, 2006

Last NPPES UpdateApril 14, 2021

NPPES CertifiedApril 14, 2021

✔ NPI 1750442711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AR · PA-965

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA02220 (TX)

4301 W MARKHAM ST # 783, Little Rock, AR 72205

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Other Identifiers 1

Medicaid320942101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Rafael L Rodriguez Pa 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 ID5597701508

PECOS Enrollment IDI20210421001006

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

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.

25 services13 patients

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers17 claims17 services$41.59 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.

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