ROBERT RODRIGUEZ (PA-C) – Medical Physician Assistant, NPI 1619236338

ROBERT RODRIGUEZ (PA-C) is a healthcare provider. based in Pierson, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9106554 (FL). The NPI Number for ROBERT RODRIGUEZ (PA-C) is 1619236338

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT RODRIGUEZ (PA-C)
NPI
1619236338
Phone
(386) 749-9449
Address
216 FREDERICK ST
Enumeration Date
15 May 2012
Last Update Date
22 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862026025
Graduation Year
2012 (14 years ago)
PAC ID
3971767377
Group Practice PAC ID
0547249518
Professional Enrollment ID
I20120615000140
Address ID
FL321803024PI216XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ROBERT RODRIGUEZ (PA-C)

  • 216 FREDERICK ST

    PIERSON, FL 321803024

    Phone: (386) 749-9449

    Fax: (386) 749-2280

    Type: Mailing

  • 1205 S WOODLAND BLVD STE 3

    DELAND, FL 327207464

    Phone: (386) 202-6025

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $415.

Total Amount is formed as General ($415) + Research ($0) + Ownership ($0) = $415.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($137).

Total Amount

$415

General + Research + Ownership

Payments

16

Total payment records

General Amount

$415

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120615000140IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32180)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547249518View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
-FL
-FL
Physician AssistantFL
Physician AssistantPR
Family PracticeFL
Family PracticeFL
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the registry number for ROBERT RODRIGUEZ (PA-C)?
The registry entry for ROBERT RODRIGUEZ (PA-C) shows NPI 1619236338.
Is ROBERT RODRIGUEZ (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists ROBERT RODRIGUEZ (PA-C) as active.
What services align with ROBERT RODRIGUEZ (PA-C)'s listing?
ROBERT RODRIGUEZ (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ROBERT RODRIGUEZ (PA-C) tied to Pierson, Florida?
If you are local to Pierson, Florida, ROBERT RODRIGUEZ (PA-C) may be relevant to your search.
Who maintains ROBERT RODRIGUEZ (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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