DR. OMAR RODRIGUEZ M.D.
NPI 1972814184
Pediatrics - Pediatric Critical Care Medicine in Sacramento, CA

Q: What is Omar Rodriguez's NPI number?

The NPI number for Omar Rodriguez is 1972814184. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Q: What is Omar Rodriguez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Omar Rodriguez was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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 June 23, 2010PECOS EnrolledAccepts Medicare Assignment

1020 29TH ST STE 480, SACRAMENTO, CA 95816(916) 733-3777 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 3, 2024, Apr 16, 2021 (2 updates tracked since 2021).

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About Dr. Omar Rodriguez M.d. NPPES

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

DR. OMAR RODRIGUEZ M.D. (NPI 1972814184) is an individual pediatric critical care medicine provider in Sacramento, California, licensed in California (A167757) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1972814184

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. OMAR RODRIGUEZCredential: M.D.

Location Address1020 29TH ST STE 480Sacramento, CA 95816-5173

Mailing AddressPo Box 255228Sacramento, CA 95865-5228

Phone(916) 733-3777

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJune 23, 2010

Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1972814184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · A167757

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 268547 (NY)

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License R-09949 (IA)

1020 29TH ST STE 480, Sacramento, CA 95816

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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

Dr. Omar Rodriguez 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 ID5799919932

PECOS Enrollment IDI20241205002394

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.

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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