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Deactivated NPI 1013904770 Deactivated / Inactive NPI Male Practitioner

Dr. Jairo Alfonso Rodriguez Cardenas , MD

General Practice • Elmhurst, NY

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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. Jairo Rodriguez Cardenas has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2005
NPI Deactivation Date February 10, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Jairo Rodriguez Cardenas, MD was a registered General Practice practicing in Elmhurst, NY. Throughout an active medical career spanning 17 years, Dr. Rodriguez Cardenas provided care at the practice location at 8136 BAXTER AVE until profile deactivation on 2022-02-10.

Practice Location & Contact Primary Location

Practice Address

8136 Baxter Ave
#2f

Elmhurst, NY 113731382

Telephone 7185071717
Fax 7182295717

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Elmhurst, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 30.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Elmhurst, NY (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 140823

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

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 10, 2022

Record deactivated on February 10, 2022

NPI Profile Active December 09, 2016

NPI status registered as active in NPPES database

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Updated Practice Location December 09, 2016

Registered at 8136 BAXTER AVE, #2F, ELMHURST, NY 113731382 (Tel: 7185071717)

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Updated Business Mailing Address December 09, 2016

Registered at 8136 BAXTER AVE STE 2F, ELMHURST, NY 113731382 (Tel: 7185071717)

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Provider Name / Credentials Updated December 09, 2016

Recorded as JAIRO RODRIGUEZ CARDENAS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2016

General Practice (License #140823 in NY)

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Initial NPI Registration & Enumeration September 28, 2005

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: 1013904770
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2005
Last Update: December 09, 2016
Deactivation Date: February 10, 2022

Mailing Address

8136 Baxter Ave Ste 2f

Elmhurst, NY 113731382

Phone: 7185071717

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.