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DANIELA RODRIGUEZ MD PLC
NPI 1780628511
Plastic Surgery in St Clair Shores, MI

Active since June 15, 2006
21727 GREATER MACK AVE, ST CLAIR SHORES, MI 48080(586) 777-7260(586) 777-7265 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Daniela Rodriguez Md Plc NPPES

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

DANIELA RODRIGUEZ MD PLC (NPI 1780628511) is a healthcare organization registered as a plastic surgery in St Clair Shores, Michigan and active in the NPI registry since June 2006. The organization lists Daniela Rodriguez, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1780628511
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameDANIELA RODRIGUEZ MD PLC
Location Address21727 GREATER MACK AVESt Clair Shores, MI 48080-2418
Mailing Address21727 Greater Mack AveSt Clair Shores, MI 48080-2418 · (586) 777-7260 · Fax (586) 777-7265
Phone(586) 777-7260
Fax(586) 777-7265
Organization SubpartNo
Authorized OfficialDaniela RodriguezOwner/physician · (586) 777-7260
Enumeration DateJune 15, 2006
Last NPPES UpdateJanuary 15, 2008
✔ NPI 1780628511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MI · 4301080695
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
21727 GREATER MACK AVE, St Clair Shores, MI 48080
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Other Identifiers 10

Other00421MI · Aetna
OtherDE6319MI · Railroad Medicare
Medicare UPINH61010MI
Medicare PIN0P22960MI
Other35715MI · Health Plan Of Mi
Other141579MI · Care Choices
Other14700MI · Mcare
Other2405016902MI · Bcbc Bcn
OtherH61010MI · Hap
Other821910MI · Procare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniela Rodriguez Md Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20051013000814Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Daniela Rodriguez MD Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Daniela Rodriguez
Plastic and Reconstructive Surgery
NPI 1215939673
21727 MACK AVE
Saint Clair Shores, MI 48080
(586) 777-7260
✔ PECOS✔ Accepts MedicareSame address

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

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 Daniela Rodriguez MD Plc's NPI number?

The NPI number for Daniela Rodriguez MD Plc is 1780628511. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Daniela Rodriguez MD Plc located?

Daniela Rodriguez MD Plc is located at 21727 Greater Mack Ave, St Clair Shores, MI 48080. The listed phone number is (586) 777-7260.

What is Daniela Rodriguez MD Plc's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Daniela Rodriguez MD Plc enrolled in Medicare?

Yes. Daniela Rodriguez MD Plc is registered in the Medicare PECOS enrollment system.

When is Daniela Rodriguez MD Plc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Daniela Rodriguez MD Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Daniela Rodriguez MD Plc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Daniela Rodriguez MD Plc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Daniela Rodriguez MD Plc 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 Daniela Rodriguez MD Plc was last updated on January 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.