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Active NPI 1548480825 Individual Practitioner Male Practitioner

Dr. Alexander Rodriguez , MD

General Practice • Davenport, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alexander Rodriguez, MD is a certified General Practice practicing in Davenport, FL. With approximately 22 years of clinical experience since graduating from San Juan Bautista School Of Medicine in 2004, Dr. Rodriguez delivers high-quality medical care to the local community at 106 PARK PLACE BLVD STE C.

Dr. Rodriguez is affiliated with Soni Family Practice Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

106 Park Place Blvd Ste C

Davenport, FL 338376868

Telephone 8635884775
Fax 8634227664
Associated Practice Facility / Clinic
🏢 Soni Family Practice, Pllc Facility NPI 1083957583

Medicare Profile & Education

Medical School

San Juan Bautista School Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Davenport, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs -0.3 yrs vs City Avg
City Avg: 22.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
26 Specialists

Practicing in Davenport, FL (2490 Statewide)

Telehealth Adoption Rate
26.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rodriguez (22 Years) 22 Yrs
Davenport Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
53 17 $200.00 $108.86

Medical Specialties & State Licenses

CMS Verified: 2024-08-27
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ACN534

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License PR 16424

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical License Florida
ACN534 (FL)
Commercial Insurance / Payer ID Pr Medical License
16424 (PR)

Hospital & Practice Group Affiliations

Soni Family Practice Pllc

106 Park Place Blvd, Davenport, FL 338376868

Phone: 8635884775

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. Jorge Lacen , MD

General Practice

NPI 1023422425

Doctor of Medicine (M.D.)

Kathryn Kuscavage , PA-C

Physician Assistant

NPI 1033517669

Physician Assistant (Certified)

NPI 1063643138

Doctor of Medicine (M.D.)

NPI 1083819361

Doctor of Medicine (M.D.)

Dr. Ambica Soni , MD

Family Medicine

NPI 1114191079

Doctor of Medicine (M.D.)

Dr. Julius Moore , MD

Psychiatry & Neurology - Geriatric Psychiatry

NPI 1134307556

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 27, 2024

Registered at 106 PARK PLACE BLVD STE C, DAVENPORT, FL 338376868 (Tel: 8635884775)

📍
Updated Business Mailing Address August 27, 2024

Registered at PO BOX 878, DAVENPORT, FL 338360878 (Tel: 6892233898)

NPI Profile Active August 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2016

Registered at 910 W VINE ST, KISSIMMEE, FL 347414165 (Tel: 4073561920)

📍
Updated Business Mailing Address August 16, 2016

Registered at 121 S ORANGE AVE STE 940, ORLANDO, FL 328013234 (Tel: 4076589687)

👤
Provider Name / Credentials Updated August 16, 2016

Recorded as ALEXANDER RODRIGUEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2016

General Practice (License #ACN 534 in FL)

🟢
Initial NPI Registration & Enumeration April 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548480825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2007
Last Update: August 27, 2024
Sole Proprietor: No

Mailing Address

Po Box 878

Davenport, FL 338360878

Phone: 6892233898

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.