DR. OLAF RODRIGUEZ (MD) – Dermatology Physician, NPI 1144780594
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
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Provider Addresses for DR. OLAF RODRIGUEZ (MD)
800, Spruce Street, Society Hill, Philadelphia, Philadelphia County, Pennsylvania, 19109, United States
PHILADELPHIA, PA 191076130
Phone:
Type: Mailing
DEPT OF DERMATOLOGY, UNIV OF PENNSYLVANIA HEALTH SYSTEM
3600 SPRUCE STREET, 2 MALONEY
PHILADELPHIA, PA 191044211
Phone:
Type: Mailing
1111 W KENYON RD
URBANA, IL 618011004
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: GENZYME CORPORATION ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $20 |
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: 2025-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20240919000178 | I | Dermatology | IL | TBD |
| I20250117001230 | I | Dermatology | IN | TBD |
| I20250117001426 | I | Dermatology | MO | TBD |
| I20250128002326 | I | Dermatology | KY | 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 19107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | KY | |
| Physician Assistant | IN | |
| Nurse Practitioner | KY | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | PA |
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