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Deactivated NPI 1013366541 Deactivated / Inactive NPI Female Practitioner

Dr. Gloria Cecilia Rodriguez , MD

Anesthesiology • Jackson, MS

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gloria Rodriguez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2016
NPI Deactivation Date January 25, 2017
Total Practice Duration ~4 Years of Practice (2013 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Gloria Rodriguez, MD was a registered Anesthesiology practicing in Jackson, MS. Throughout an active medical career spanning 4 years, Dr. Rodriguez provided care at the practice location at 2500 N STATE ST until profile deactivation on 2017-01-25.

Dr. Rodriguez was affiliated with State Of Mississippi-University Of Mississippi Medical Center and accepted Medicare assignment.

Historical Medicare Part B clinical services included insertion of artery tube for blood sampling or infusion through skin, ultrasound of heart with probe in esophagus, with report, doppler ultrasound study of color-directed heart blood flow, rate, and valve function. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2500 N State St

Jackson, MS 392164500

Telephone 6018152005
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Jackson, MS

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -8.6 yrs vs City Avg
City Avg: 21.6 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
156 Specialists

Practicing in Jackson, MS (336 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rodriguez (13 Years) 13 Yrs
Jackson Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36620 Insertion of artery tube for blood sampling or infusion through skin
35 33 $111.00 $40.75
93312 Ultrasound of heart with probe in esophagus, with report
20 20 $253.00 $97.44
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function
17 17 $10.00 $2.84
93320 Ultrasound of heart blood flow, valves and chambers
17 17 $85.00 $16.28
01922 Anesthesia for x-ray or radiation therapy
15 15 $854.93 $110.44
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)
15 15 $210.00 $77.06
00410 Anesthesia for procedure to correct abnormal heart rhythm
14 14 $432.57 $72.19
00567 Anesthesia for heart artery bypass grafting on heart-lung machine
12 12 $3398.67 $760.70
00537 Anesthesia for procedure to assess heart electrical activity
12 12 $1742.00 $264.58

Medical Specialties & State Licenses

CMS Verified: 2023-07-21
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License MS 28621

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

State Of Mississippi-University Of Mississippi Medical Center

2500 N State St, Jackson, MS 392164500

Phone: 6018154775

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Laura Vearrier , MD

Emergency Medicine

NPI 1003076035

Doctor of Medicine (M.D.)

NPI 1023164795

Doctor of Medicine (M.D.)

Gigi Holder , LCSW

Social Worker - Clinical

NPI 1033877543

Licensed Clinical Social Worker

Cherieda Washington

Counselor - Professional

NPI 1053982215
Heather Boyd , MS, LPC

Counselor - Mental Health

NPI 1063951416

Master of Science, Licensed Professional Counselor

Dr. Lekha Deere , MD

Internal Medicine - Critical Care Medicine

NPI 1083025324

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2023

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location April 14, 2022

Registered at 2500 N STATE ST, JACKSON, MS 392164500 (Tel: 6018152005)

📍
Updated Business Mailing Address April 14, 2022

Registered at 504 CLINTON CENTER DRIVE, CBO - SUITE 4300, CLINTON, MS 39056 (Tel: 6018152005)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2022

Anesthesiology (License #28621 in MS)

🔄
NPI Profile Reactivated August 24, 2017

Record officially reactivated for active practice on August 24, 2017

📍
Updated Practice Location August 24, 2017

Registered at 450 CLARKSON AVE, BROOKLYN, NY 11203 (Tel: 7182703302)

📍
Updated Business Mailing Address August 24, 2017

Registered at 450 CLARKSON AVE, BROOKLYN, NY 11203 (Tel: 7182703302)

👤
Provider Name / Credentials Updated August 24, 2017

Recorded as GLORIA RODRIGUEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2017

Student in an Organized Health Care Education/Training Program

⚠️
NPI Profile Deactivated January 25, 2017

Record deactivated on January 25, 2017

NPI Profile Active June 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2016

Registered at 450 CLARKSON AVE, BROOKLYN, NY 11203 (Tel: 7182703302)

📍
Updated Business Mailing Address June 06, 2016

Registered at 450 CLARKSON AVE, BROOKLYN, NY 11203 (Tel: 7182703302)

👤
Provider Name / Credentials Updated June 06, 2016

Recorded as GLORIA RODRIGUEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 06, 2016

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: 1013366541
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2016
Last Update: July 21, 2023
Deactivation Date: January 25, 2017
Sole Proprietor: No

Mailing Address

504 Clinton Center Drive, Cbo - Suite 4300

Clinton, MS 39056

Phone: 6018152005

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.