DR. DAVID THOMAS RODRIGUEZ (MD) – Sports Medicine (Family Medicine) Physician, NPI 1831689504

DR. DAVID THOMAS RODRIGUEZ (MD) is a healthcare provider. based in Clifton, New Jersey. specializing in SPORTS MEDICINE, ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 25MA11101600 (NJ). The NPI Number for DR. DAVID THOMAS RODRIGUEZ (MD) is 1831689504

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID THOMAS RODRIGUEZ (MD)
NPI
1831689504
Phone
(973) 754-4121
Address
1135 BROAD ST STE 201
Enumeration Date
17 May 2018
Last Update Date
11 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9739705197
Graduation Year
2018 (8 years ago)
PAC ID
3476969973
Group Practice PAC ID
4284025594
Professional Enrollment ID
I20220908002715
Address ID
NJ074703534WA504XXRDXX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

251 SPORTS MEDICINE in NJ

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Provider Addresses for DR. DAVID THOMAS RODRIGUEZ (MD)

  • 201, Broad Street, Albion Place, Clifton, Passaic County, New Jersey, 07013, United States

    CLIFTON, NJ 070133346

    Phone: (973) 754-4121

    Type: Mailing

  • 504 VALLEY RD STE 201

    WAYNE, NJ 074703534

    Phone: (973) 446-7500

    Type: Mailing

  • 11100 EUCLID AVE

    CLEVELAND, OH 441061716

    Phone: (216) 844-3722

    Type: Mailing

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 $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Ferring Pharmaceuticals Inc. ($77).

Total Amount

$142

General + Research + Ownership

Payments

7

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2022-09-08

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
I20220908002715IOrthopedic SurgeryNJTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg914106$0
99213Established patient office or other outpatient visit, 20-29 minutes247145$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance184127$0
99214Established patient office or other outpatient visit, 30-39 minutes10476$0
99204New patient office or other outpatient visit, 45-59 minutes3939$0
View full utilization report →

Insurance plans in this area (ZIP 07013)

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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: 4284025594View full group profile
NameSpecialtyState
Physician AssistantNJ
Orthopedic Surgery, Sports MedicineNJ
Orthopedic SurgeryNJ
Orthopedic SurgeryNJ
Orthopedic SurgeryNJ
Physician AssistantNJ
Sports Medicine, Orthopedic SurgeryNJ
Orthopedic SurgeryNY
Orthopedic Surgery, Sports MedicineAL

Reviews

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Frequently asked questions

What number should I use to identify DR. DAVID THOMAS RODRIGUEZ (MD) for billing?
Administrative and clinical systems typically use NPI 1831689504 for DR. DAVID THOMAS RODRIGUEZ (MD).
Is DR. DAVID THOMAS RODRIGUEZ (MD)'s NPI status active today?
Active status means DR. DAVID THOMAS RODRIGUEZ (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. DAVID THOMAS RODRIGUEZ (MD)?
NPPES ties DR. DAVID THOMAS RODRIGUEZ (MD) to Sports Medicine (Family Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. DAVID THOMAS RODRIGUEZ (MD) tied to Clifton, New Jersey?
If you are local to Clifton, New Jersey, DR. DAVID THOMAS RODRIGUEZ (MD) may be relevant to your search.
Why is information missing for DR. DAVID THOMAS RODRIGUEZ (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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