DR. DAVID THOMAS RODRIGUEZ MD
NPI 1831689504
Family Medicine - Sports Medicine in Wayne, NJ

Q: What is David Rodriguez's NPI number?

The NPI number for David Rodriguez is 1831689504. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Q: What is David Rodriguez's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for David Rodriguez was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 17, 2018PECOS EnrolledAccepts Medicare Assignment

504 VALLEY RD STE 201, WAYNE, NJ 07470(973) 446-7500(973) 554-4922 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2022, Jan 20, 2022, Jun 12, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Dr. David Thomas Rodriguez Md NPPES

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

DR. DAVID THOMAS RODRIGUEZ MD (NPI 1831689504) is an individual sports medicine provider in Wayne, New Jersey, licensed in New Jersey (25MA11101600) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Chilton Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1831689504

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. DAVID THOMAS RODRIGUEZCredential: MD

Location Address504 VALLEY RD STE 201Wayne, NJ 07470-3534

Mailing Address504 Valley Rd Ste 201Wayne, NJ 07470-3534 · (973) 446-7500

Phone(973) 446-7500

Fax(973) 554-4922

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 17, 2018

Last NPPES UpdateNovember 11, 20224 updates tracked since enumeration

NPPES CertifiedNovember 11, 2022

✔ NPI 1831689504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in NJ · 25MA11101600

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 25MA11101600 (NJ), 35.141464 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

504 VALLEY RD STE 201, Wayne, NJ 07470

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. David Thomas Rodriguez Md 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 ID3476969973

PECOS Enrollment IDI20220908002715, I20260506003073

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

Medicare enrollment records show David Rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Academy Orthopaedic Group LLC

Same address

Orthopaedic Surgery

504 VALLEY RD STE 201
Wayne, NJ 07470

Reassigned Medicare billing, New Jersey enrollment
8 clinicians in this Medicare group

NPI 1295490316 (973) 446-7500

St Josephs Medical Group PC

3.7 mi

Internal Medicine

703 MAIN ST
Paterson, NJ 07503

Reassigned Medicare billing, New Jersey enrollment
317 clinicians in this Medicare group

NPI 1205425519 (973) 754-2000

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 10

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,695 services156 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.

439 services249 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

292 services187 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

71 services71 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

43 services38 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.

38 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310017

Location97 West ParkwayPompton Plains, NJ 07444 · Morris County

Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 5

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

JONATHAN RAMESH VAMADEVA DO

Internal Medicine (Sports Medicine)