LUIS B RODRIGUEZ (CRNA) – Registered Nurse, NPI 1053615526

LUIS B RODRIGUEZ (CRNA) is a healthcare provider. based in Arkansas city, Kansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APRN11025817 (FL). The NPI Number for LUIS B RODRIGUEZ (CRNA) is 1053615526

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
LUIS B RODRIGUEZ (CRNA)
NPI
1053615526
Phone
(610) 703-8695
Address
2801 LEVI DR
Enumeration Date
27 December 2010
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
9185791000
Graduation Year
2010 (16 years ago)
PAC ID
9830373521
Group Practice PAC ID
1355606641
Professional Enrollment ID
I20240312001108
Address ID
OK741044012TU1120XAVEX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:15State licenses:4Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Provider Addresses for LUIS B RODRIGUEZ (CRNA)

  • 2801 LEVI DR

    ARKANSAS CITY, KS 670054127

    Phone: (610) 703-8695

    Type: Mailing

  • 1245 S CEDAR CREST BLVD STE 301

    ALLENTOWN, PA 181036258

    Phone: (610) 402-9099

    Fax: (610) 402-9029

    Type: Mailing

  • 1200 S CEDAR CREST BLVD

    ALLENTOWN, PA 181036202

    Phone: (610) 402-9099

    Fax: (610) 402-9029

    Type: Location

  • 823 N 3RD ST

    ARKANSAS CITY, KS 670051549

    Phone: (610) 703-8695

    Type: Mailing

  • 1900 N 14th St

    Ponca City, OK 746012035

    Phone: (610) 703-8695

    Type: Location

  • 1300 E 5th Ave

    Winfield, KS 671562407

    Phone: (610) 703-8695

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20200714002231ICertified Registered Nurse Anesthetist (Crna)KSTBD
I20231019002164ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20240312001108ICertified Registered Nurse Anesthetist (Crna)OKTBD

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 67005)

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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: 1355606641View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Anesthesiology, Interventional Pain ManagementTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How is LUIS B RODRIGUEZ (CRNA) identified in CMS data?
CMS-hosted NPPES data lists LUIS B RODRIGUEZ (CRNA) with NPI 1053615526.
Does the file indicate LUIS B RODRIGUEZ (CRNA) is practicing under active NPI?
Directory data currently reports LUIS B RODRIGUEZ (CRNA) as active.
What is LUIS B RODRIGUEZ (CRNA) best known for clinically?
Directory data describes LUIS B RODRIGUEZ (CRNA) with Registered Nurse. Clinical services aligned with this taxonomy classification.
Where should I expect LUIS B RODRIGUEZ (CRNA) on a map?
Expect Arkansas City, Kansas as a primary anchor for LUIS B RODRIGUEZ (CRNA) unless the record lists multiple sites.
Is the information about LUIS B RODRIGUEZ (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."