David J Rodriguez (NPI# 1306963335, PAC ID# 8224136288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1306963335 |
| PAC ID by PECOS | 8224136288 |
| Professional Enrollment ID | I20070614000455 |
| Full Name | David J Rodriguez |
| Organization Legal Name | ASCENSION ST JOHN HOSPITAL |
| Address |
22101 Moross Rd Detroit MI 48236-2148 |
| Gender | M |
| Credential | MD |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3173424082 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230241 | ST JOHN RIVER DISTRICT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 22101 Moross Rd, Detroit, MI 48236-2148 | ASCENSION ST JOHN HOSPITAL | |
| 22101 Moross Rd, Grosse Pointe, MI 48236-2148 | 3133434000 | ASCENSION ST JOHN HOSPITAL |
| 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 | 8104980440 | EASTLAKE CARDIOVASCULAR PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 15% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 8% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 24% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 15% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 30% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 81% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 91% |
| Organization Legal Name | ASCENSION ST JOHN HOSPITAL |
| Physicians | 251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette E Wilson | Family Medicine | Ascension St John Hospital | 21099 Masonic Blvd, Saint Clair Shores, MI 48082-1045 |
| Holly Ouillette | Obstetrics/gynecology | Ascension St John Hospital | 22151 Moross Rd, Suite 313, Grosse Pointe, MI 48236-2197 |
| Nishan H Chobanian | Gynecological Oncology | Ascension St John Hospital | 22301 Foster Winter Dr 3rd Floor, Sjhmc V K Malviya Md, Southfield, MI 48075-3707 |
| Andrey A Volkov | Neurosurgery | Ascension St John Hospital | 22201 Moross Rd, Suite 352, Detroit, MI 48236-2176 |
| Ashish Bhargava | Infectious Disease | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Julia K Tesch | Internal Medicine | Ascension St John Hospital | 17141 Kercheval Ave, Grosse Pointe, MI 48230-1660 |
| Eileen M Reickert | Family Medicine | Ascension St John Hospital | 24911 Little Mack Ave C, Saint Clair Shores, MI 48080-3200 |
| Douglas C Kubek | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Vamshidhar D Guduguntla | Interventional Cardiology | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| John W Becker | Otolaryngology | Ascension St John Hospital | 11080 Hall Rd A, Sterling Heights, MI 48314-1511 |
| Street Address |
22101 MOROSS RD |
| City | DETROIT |
| State | MI |
| Zip | 48236-2148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel S Rana | Anesthesiology | St John Anesthesiologists, PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Daniel P Snower | Pathology | Pathology Specialists of Southeast Michigan PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Omotara J Kufeji | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Chelsey Friedrichs | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Mamta Sharma | Infectious Disease | Ascension St John Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Suzanne M Millican | Obstetrics/gynecology | Ascension St John Hospital | 22101 Moross Rd, Grosse Pointe, MI 48236-2148 |
| Jeanne G Lewandowski | Pediatric Medicine | Ascension St John Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Gary N Mason | Pain Management | St John Anesthesiologists, PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Magdalena M Sosnowski | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Shawndelin M Wilson | Physician Assistant | Observation Emergency Physicians PC | 22101 Moross Rd, Detroit, MI 48236-2148 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Joanne English-mcmellon | Qualified Audiologist | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 | |
| Kelly A Zilli | Audiologist | Ear Center Inc | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 |
| Lindsay Leigh Smith | Audiologist | Ear Center Inc | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 |
| Dennis C Packey | Internal Medicine | 20867 Mack Ave, Suite 3, Grosse Pointe Wd, MI 48236-1356 | |
| Stephenie M Lucas | Internal Medicine | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Jennifer Kulinski | Nurse Practitioner | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Carlo E Adams | Physical Medicine and Rehabilitation | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 | |
| Theresa M Oney | Physical Medicine and Rehabilitation | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 | |
| Noemi Pac Villanueva | Physician Assistant | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Logan A Oney | Internal Medicine | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Find all physicians in zip 48236 | |||
| City | DETROIT |
| Zip Code | 48236 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | DETROIT + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on David J Rodriguez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.