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HELIO J. RODRIGUES M.D
NPI 1821416108
Internal Medicine in Nashville, TN

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1005 DR DB TODD JR BLVD, NASHVILLE, TN 37208(615) 327-6000 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Helio J. Rodrigues M.d NPPES

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

HELIO J. RODRIGUES M.D (NPI 1821416108) is an individual internal medicine provider in Nashville, Tennessee, licensed in Georgia (FR7433117) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Piedmont Newnan Hospital, Inc, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1821416108
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameHELIO J. RODRIGUESCredential: M.D
Location Address1005 DR DB TODD JR BLVDNashville, TN 37208-3501
Mailing Address1005 Dr Db Todd Jr BlvdNashville, TN 37208-3501
Phone(615) 327-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 2, 2014
Last NPPES UpdateMarch 29, 2019
✔ NPI 1821416108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · FR7433117✔ Licensed in TN · FR7083948
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1005 DR DB TODD JR BLVD, Nashville, TN 37208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Helio J. Rodrigues M.d 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 ID2163788290
PECOS Enrollment IDI20171107000206, I20180530002604
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 Reassignments

9

Medicare enrollment records show Helio Rodrigues reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Medicine Services Of Tn, LLC
1.0 mi
Hospitalist
2300 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 420 clinicians in this Medicare group
NPI 1982301065 (615) 342-1001
Summit Medical Group, PLLC
14 mi
Internal Medicine
1607 WESTGATE CIR STE 200
Brentwood, TN 37027
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,003 clinicians in this Medicare group
NPI 1659090298 (615) 376-8195
Southeastern Physician Services PC
144 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Northeast Georgia Physicians Group Inc
212 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000
Piedmont Athens Hospitalist Physicians LLC
212 mi
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group
NPI 1578079000 (404) 367-3014
Hospital Medicine Services Of Tennessee PC
229 mi
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Tennessee enrollment
  • 394 clinicians in this Medicare group
NPI 1528433802 (812) 537-1010
Piedmont Hospitalist Physicians LLC
234 mi
Family Medicine
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 792 clinicians in this Medicare group
NPI 1548219660 (770) 801-2500
Hospital Physician Services - Southeast Professional Corporation
238 mi
Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Georgia enrollment
  • 777 clinicians in this Medicare group
NPI 1760410385 (770) 267-8461
Cogent Healthcare Of Georgia PC
288 mi
Internal Medicine
400 CHARTER BLVD
Macon, GA 31210
  • Reassigned Medicare billing, Georgia enrollment
  • 635 clinicians in this Medicare group
NPI 1609827823 (478) 757-8200

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
111 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
49 services19 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37208 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%75 patients4/55-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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$13.87 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
2 suppliers26 claims26 services$61.91 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers26 claims26 services$15.01 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$22.68 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers20 claims20 services$6.06 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.

MRS. TENE HAMILTON FRANKLIN M.S.
Genetic Counselor, MS
1005 DR DB TODD JR BLVD, MEHARRY SICKLE CELL CENTER
NASHVILLE, TN 37208
Davidson County (615) 327-6781
DR. SCOTTIE ABRAHAM BUSSELL MD,MPH
Preventive Medicine (Public Health & General Preventive Medicine)
1005 DR DB TODD JR BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-6782
LYNDA I NTHIGA DO
Student in an Organized Health Care Education/Training Program
1005 DR DB TODD JR BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-5547
DR. ESIRI ESIN M.D.
Psychiatry & Neurology (Psychiatry)
1005 DR DB TODD JR BLVD, MEHARRY MEDICAL COLLEGE
NASHVILLE, TN 37208
Davidson County (615) 327-6350
DR. BINITA SATPATHY DDS
Dentist (General Practice)
1005 DR DB TODD JR BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-6370
DR. ALLAN JOEL MEJIA PORTILLO MD
General Practice
1005 DR DB TODD JR BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-6611
EFEMENA MICHAEL DIEJOMAOH MD
Psychiatry & Neurology (Psychiatry)
1005 DR DB TODD JR BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-6350
MICHELLE KAIMENYI MHS
Student in an Organized Health Care Education/Training Program
1005 DR DB TODD JR BLVD
NASHVILLE, TN 37208
Davidson County (615) 327-6000

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 Helio Rodrigues's NPI number?

The NPI number for Helio Rodrigues is 1821416108. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Helio Rodrigues located?

Helio Rodrigues practices at 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208. The listed phone number is (615) 327-6000.

What is Helio Rodrigues's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Helio Rodrigues enrolled in Medicare?

Yes. Helio Rodrigues 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 organizations bill Medicare for Helio Rodrigues's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Helio Rodrigues reassigns Medicare benefits to 9 organizations: Hospital Medicine Services Of Tn, LLC (Nashville, TN), Summit Medical Group, PLLC (Brentwood, TN), Southeastern Physician Services PC (Oak Ridge, TN), Northeast Georgia Physicians Group Inc (Gainesville, GA), Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA) and 4 more organizations, listed in the Medicare section above. Each 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 Helio Rodrigues's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Helio Rodrigues accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Helio Rodrigues 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.

Is Helio Rodrigues affiliated with any hospitals?

According to CMS data, Helio Rodrigues is affiliated with Piedmont Newnan Hospital, Inc and Physicians Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Helio Rodrigues was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.