DR. JOSEPH D RODERIQUE (M.D.) – Anesthesiology Physician, NPI 1760895205

DR. JOSEPH D RODERIQUE (M.D.) is a healthcare provider. based in Lakeland, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101258805 (VA). The NPI Number for DR. JOSEPH D RODERIQUE (M.D.) is 1760895205

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH D RODERIQUE (M.D.)
NPI
1760895205
Phone
(863) 680-7000
Address
1600 LAKELAND HILLS BLVD
Enumeration Date
2 June 2014
Last Update Date
13 June 2024

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
8636807000
Graduation Year
2014 (12 years ago)
PAC ID
3274861893
Group Practice PAC ID
1456258979
Professional Enrollment ID
I20221017000534
Address ID
FL338053019LA1600XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,338 ANESTHESIOLOGY in VA

Provider Addresses for DR. JOSEPH D RODERIQUE (M.D.)

  • 1600 LAKELAND HILLS BLVD

    LAKELAND, FL 338053065

    Phone: (863) 680-7000

    Fax: (866) 264-8519

    Type: Mailing

  • MARINE CORPS SECURITY FORRCE REGIMENT-MEDICAL DEPT

    2122 LONGFELLOW RD

    YORKTOWN, VA 236915118

    Phone: (757) 637-9354

    Type: Mailing

  • 800 Prudential Dr

    Jacksonville, FL 322078202

    Phone: (904) 232-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $4,064.

Total Amount is formed as General ($4,064) + Research ($0) + Ownership ($0) = $4,064.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: HemoSonics LLC ($4,064).

Total Amount

$4,064

General + Research + Ownership

Payments

5

Total payment records

General Amount

$4,064

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
HemoSonics LLC$4,064
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: 2023-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221017000534IAnesthesiologyFLTBD
I20230726001313IAnesthesiologyOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3130$0
00811Anesthesia for other procedure on large bowel using an endoscope2424$0
00813Anesthesia for procedure on small and large bowel using an endoscope1818$0
00910Anesthesia for other procedure on urinary system through urethra1515$0
01922Anesthesia for x-ray or radiation therapy1212$0
View full utilization report →

Insurance plans in this area (ZIP 33805)

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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: 1456258979View full group profile
NameSpecialtyState
Internal MedicineFL
A N E S T H E S I O L O G YFL
-FL
Physical Therapist In Private PracticeFL
Pulmonary Disease, Internal MedicineFL
-FL
Nurse PractitionerFL
Emergency MedicineFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is DR. JOSEPH D RODERIQUE (M.D.) listed with a National Provider Identifier?
Yes — DR. JOSEPH D RODERIQUE (M.D.) has NPI 1760895205 on file in the registry.
Is DR. JOSEPH D RODERIQUE (M.D.) still an active registrant?
DR. JOSEPH D RODERIQUE (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. JOSEPH D RODERIQUE (M.D.)'s focus?
For DR. JOSEPH D RODERIQUE (M.D.), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. JOSEPH D RODERIQUE (M.D.) associated with Lakeland?
Public fields place DR. JOSEPH D RODERIQUE (M.D.) around Lakeland, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. JOSEPH D RODERIQUE (M.D.) is noted as June 2, 2014 where the registry provides it.

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