Dr. Luke J Rodriguez, MD
Surgery in Pottsville, PA. Individual provider (NPI-1).
NPI number1497285142
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1497285142
- Entity type
- Individual (NPI-1)
- Name
- Dr. Luke J Rodriguez
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2017
- Certification date
- Oct 3, 2023
- Last updated
- Oct 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD482480 | PA | Yes |
| 208600000X | Surgery | MT214071 | PA |
Practice location
171 Red Horse RdPottsville, PA 17901-9119
Phone 104-027-8846
Mailing address
2100 Mack Blvd Fl 4Allentown, PA 18103-5622
Other practice locations
1240 S Cedar Crest Blvd Ste 410
Allentown, PA 18103-6218
Allentown, PA 18103-6218
Phone 610-402-7884
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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