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MR. WILLIAM RODRIGUEZ FUNDORA D.O.
NPI 1821059312
Family Medicine in Miami, FL

Active since April 01, 2006PECOS EnrolledAccepts Medicare Assignment
1100 SW 57 AVE #101, MIAMI, FL 33144(305) 644-1550(305) 269-1068 Get Directions Write a Review

NPPES record last updated: December 24, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. William Rodriguez Fundora D.o. NPPES

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

MR. WILLIAM RODRIGUEZ FUNDORA D.O. (NPI 1821059312) is an individual family medicine provider in Miami, Florida, licensed in Florida (OS-0007275) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1821059312
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. WILLIAM RODRIGUEZ FUNDORACredential: D.O.
Location Address1100 SW 57 AVE #101Miami, FL 33144
Mailing Address1100 Sw 57 Ave #101Miami, FL 33144 · (305) 644-1550 · Fax (305) 269-1068
Phone(305) 644-1550
Fax(305) 269-1068
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 1, 2006
Last NPPES UpdateDecember 24, 2008
✔ NPI 1821059312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · OS-0007275✔ Licensed in FL · OS0007275
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1100 SW 57 AVE #101, Miami, FL 33144
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Other Identifiers 4

Medicare UPING82410FL
Medicare UPING82410
Medicaid260231800FL
Medicare ID-Type UnspecifiedE14512FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Mr. William Rodriguez Fundora D.o. 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 ID749279289
PECOS Enrollment IDI20090110000014
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 William Rodriguez Fundora reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rodriguez And Sixto Medical Associates, P.A.
Same address
Family Medicine
1100 SW 57 AVE #101
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1982744314 (305) 644-1550

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

Areas of Expertise CMS Part B claims 11

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
115 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services33 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
77 services47 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
62 services12 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
56 services20 patients
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.
53 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33144 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
100%91 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%126 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers26 claims93 services$6.86 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers16 claims16 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers22 claims38 services$1.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$17.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers37 claims37 services$77.32 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 2

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

MRS. SUSANA MARIA SIXTO-RODRIGUEZ D.O.
Family Medicine
1100 SW 57 AVE #101
MIAMI, FL 33144
Miami-Dade County (305) 644-1550
RODRIGUEZ AND SIXTO MEDICAL ASSOCIATES, P.A.
Family Medicine
1100 SW 57 AVE #101
MIAMI, FL 33144
Miami-Dade County (305) 644-1550

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 William Rodriguez Fundora's NPI number?

The NPI number for William Rodriguez Fundora is 1821059312. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Where is William Rodriguez Fundora located?

William Rodriguez Fundora practices at 1100 SW 57 Ave #101, Miami, FL 33144. The listed phone number is (305) 644-1550.

What is William Rodriguez Fundora's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Rodriguez Fundora enrolled in Medicare?

Yes. William Rodriguez Fundora 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 organization bills Medicare for William Rodriguez Fundora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Rodriguez Fundora reassigns Medicare benefits to Rodriguez And Sixto Medical Associates, P.A. (Miami, FL). 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 William Rodriguez Fundora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Rodriguez Fundora accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list William Rodriguez Fundora 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 William Rodriguez Fundora was last updated on December 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.