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PEDRO RODRIGUEZ MD NPI 1881889194


NPI Information

NPI: 1881889194
Provider Name: PEDRO RODRIGUEZ, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Organization: LANDON PRYOR MD SC

PECOS Registration: Yes

Address:
698 FEATHERSTONE RD
ROCKFORD, IL
ZIP 61107
Phone: (815) 398-3277
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Pedro Rodriguez, MD is a plastic and reconstructive surgery surgery in Rockford, IL with 25 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Pedro Rodriguez, MD NPI is 1881889194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:1999

The provider's business location address is:

698 FEATHERSTONE RD
ROCKFORD, IL
ZIP 61107-303
Phone: (815) 398-3277
Fax: (815) 986-1448

The NPI 1881889194 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.

  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • Destruction of skin growth (HCPCS:17000)
  • Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips (HCPCS:11642)

The enumeration date for this NPI number is 9/10/2007 and was last updated on 7/18/2012.


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
1208600000XSurgery036110684ILLINOISNo
22086S0122XSurgeryPlastic and Reconstructive Surgery16856PUERTO RICONo
3208600000XSurgery16856PUERTO RICONo
42086S0122XSurgeryPlastic and Reconstructive Surgery036110684ILLINOISYes

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
1215652005MEDICARE PINILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.