DR. EDISON D RODRIGUES (M.D.) – Gastroenterology Physician, NPI 1508864489

DR. EDISON D RODRIGUES (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD19374 (RI). The NPI Number for DR. EDISON D RODRIGUES (M.D.) is 1508864489

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDISON D RODRIGUES (M.D.)
NPI
1508864489
Phone
(401) 444-6779
Address
117 ELLENFIELD ST STE 101
Enumeration Date
13 July 2005
Last Update Date
14 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036065560
Graduation Year
1985 (41 years ago)
PAC ID
0749252203
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20040806000483
Address ID
TX757012041TY630XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,498 GASTROENTEROLOGY in TX

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Provider Addresses for DR. EDISON D RODRIGUES (M.D.)

  • 117 ELLENFIELD ST STE 101

    PROVIDENCE, RI 029054541

    Phone: (401) 444-6779

    Fax: (401) 444-6912

    Type: Mailing

  • Elizabeth Street, Corpus Christi, Nueces County, Texas, 78404, United States

    CORPUS CHRISTI, TX 784042212

    Phone: (361) 884-2858

    Fax: (361) 879-9015

    Type: Location

  • 910 E Houston St Ste 550

    Tyler, TX 757028366

    Phone: (903) 885-7671

    Type: Location

  • 2026 S Jackson St

    Jacksonville, TX 757665822

    Phone: (903) 589-7017

    Type: Location

  • 950 Warren Ave Ste 301

    East Providence, RI 029141432

    Phone: (401) 606-4260

    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: 2023-07-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040806000483IGastroenterologyTXTBD
I20230731001156IGastroenterologyRITBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 02905)

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Provider's Procedures

DR. EDISON D RODRIGUES (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYTX43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope4644
GASTROENTEROLOGYTX88342Tissue or cell analysis by immunologic technique2015

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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

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Frequently asked questions

How do I look up DR. EDISON D RODRIGUES (M.D.) by NPI?
Use NPI 1508864489 when you need to reference DR. EDISON D RODRIGUES (M.D.) in forms, claims, or directories.
Is DR. EDISON D RODRIGUES (M.D.) active in the national directory?
DR. EDISON D RODRIGUES (M.D.)'s public NPI profile is in an active state.
Can you summarize DR. EDISON D RODRIGUES (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. EDISON D RODRIGUES (M.D.) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Does DR. EDISON D RODRIGUES (M.D.) practice in Rhode Island?
You will see Providence, Rhode Island on file for DR. EDISON D RODRIGUES (M.D.) alongside any extra practice locations.
What if Providence, Rhode Island seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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