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DR. CARLOS FREDERICO RODRIGUEZ MD NPI 1518137306


NPI Information

NPI: 1518137306
Provider Name: DR. CARLOS FREDERICO RODRIGUEZ, MD
Classification: Dermatology - 207ND0900X
Entity Type: Individual

Specialization: Dermatopathology

PECOS Registration: Yes

Address:
830 AINSWORTH DR
PRESCOTT, AZ
ZIP 86301
Phone: (928) 777-5800
Get Directions

DR. Carlos Frederico Rodriguez, MD is a dermatopathology dermatology in Prescott, AZ with 19 years of experience. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. DR. Carlos Frederico Rodriguez, MD NPI is 1518137306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year:2005

The provider's business location address is:

830 AINSWORTH DR
PRESCOTT, AZ
ZIP 86301-630
Phone: (928) 777-5800
Fax: (928) 776-0405

The NPI 1518137306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) (HCPCS:17311)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (HCPCS:17312)
  • Special stained specimen slides to examine tissue (HCPCS:88341)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)
  • Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs (HCPCS:13121)

The enumeration date for this NPI number is 3/7/2008 and was last updated on 10/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatology036119039ILLINOISNo
2207N00000XDermatology42919ARIZONANo
3207ND0101XDermatologyMOHS-Micrographic Surgery036119039ILLINOISNo
4207ND0101XDermatologyMOHS-Micrographic Surgery42919ARIZONANo
5207ND0900XDermatologyDermatopathology036119039ILLINOISNo
6207NI0002XDermatologyClinical & Laboratory Dermatological Immunology42919ARIZONANo
7207NI0002XDermatologyClinical & Laboratory Dermatological Immunology036119039ILLINOISNo
8207NP0225XDermatologyPediatric Dermatology42919ARIZONANo
9207NP0225XDermatologyPediatric Dermatology036119039ILLINOISNo
10207NS0135XDermatologyProcedural Dermatology036119039ILLINOISNo
11207NS0135XDermatologyProcedural Dermatology42919ARIZONANo
12207ZD0900XPathologyDermatopathology42919ARIZONANo
13207ND0900XDermatologyDermatopathology42919ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1867831MEDICAIDARIZONA
29735166OTHERARIZONAAETNA
3P01291608OTHERARIZONARAILROAD MCR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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