PEDRO RODRIGUEZ (MD) – Plastic and Reconstructive Surgery Physician, NPI 1881889194

PEDRO RODRIGUEZ (MD) is a healthcare provider. based in Rockford, Illinois. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 16856 (PR). The NPI Number for PEDRO RODRIGUEZ (MD) is 1881889194

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
PEDRO RODRIGUEZ (MD)
NPI
1881889194
Phone
(815) 398-3277
Address
698 FEATHERSTONE RD
Enumeration Date
10 September 2007
Last Update Date
18 July 2012

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
8159774403
Graduation Year
1999 (27 years ago)
PAC ID
3870642176
Group Practice PAC ID
0143460246
Professional Enrollment ID
I20090515000303
Address ID
IL611146481RO5995XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL

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Provider Addresses for PEDRO RODRIGUEZ (MD)

  • OSF Medical Group - Specialty Clinic - Guilford Square, 698, Featherstone Road, Rockford, Winnebago County, Illinois, 61107, United States

    ROCKFORD, IL 611076303

    Phone: (815) 398-3277

    Fax: (815) 986-1448

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($111).

Total Amount

$204

General + Research + Ownership

Payments

7

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-05-15

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
I20090515000303IPlastic And Reconstructive SurgeryILTBD

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 61107)

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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: 0143460246View full group profile
NameSpecialtyState
D E R M A T O L O G YWI
Plastic And Reconstructive Surgery, General SurgeryIL

Reviews

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Frequently asked questions

Is there an official ID for PEDRO RODRIGUEZ (MD) in U.S. healthcare records?
The official identifier for PEDRO RODRIGUEZ (MD) is NPI 1881889194.
Active or inactive — what applies to PEDRO RODRIGUEZ (MD)?
You should see PEDRO RODRIGUEZ (MD) as active in CMS-hosted NPPES data.
What kind of doctor is PEDRO RODRIGUEZ (MD)?
PEDRO RODRIGUEZ (MD) is associated with Plastic and Reconstructive Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is PEDRO RODRIGUEZ (MD) located near Rockford?
PEDRO RODRIGUEZ (MD) currently maps to Rockford, Illinois in this extract.
When was this NPI issued?
Enumeration for PEDRO RODRIGUEZ (MD) is noted as September 10, 2007 where the registry provides it.

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