GONZALO J RODRIGUEZ (MD) – Obstetrics & Gynecology Physician, NPI 1659351229
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,818 OBSTETRICS/GYNECOLOGY in OH
Provider Addresses for GONZALO J RODRIGUEZ (MD)
3170 KETTERING BLVD BLDG B3
MORAINE, OH 454391924
Phone: (937) 991-3188
Fax: (937) 223-9811
Type: Mailing
3130 N COUNTY ROAD 25A STE 212
TROY, OH 45373
Phone: (937) 335-1660
Fax: (937) 440-4020
Type: Location
1215 Lawn Ave Ste 100
Elkhart, IN 465142450
Phone: (574) 293-2893
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: 2017-06-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051031000544 | I | Obstetrics/Gynecology | MI | TBD |
| I20170616000971 | I | Obstetrics/Gynecology | OH | TBD |
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.
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 45439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Nurse Midwife (Cnm) | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Mental Health Counselor | MI | |
| Internal Medicine | MI | |
| - | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Pediatric Medicine | MI | |
| Family Practice | MI | |
| Family Practice | MI |
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