Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Olaf Rodriguez, MD

Individual provider Dermatopathology Physician · NPI 1144780594

Dr. Olaf Rodriguez, MD is a Dermatology in Urbana, Illinois. Graduated from Perelman School of Med at the University of Pennsylvania in 2019, 7 years ago. Practices with Vitalskin Medical Group Il PLLC, a 56-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1111 W Kenyon Rd
Urbana, IL 61801-1004
Phone: (217) 819-3376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036171478 (IL)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 036171478 (IL)

Record details

NPI number1144780594
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 21, 2019
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address1111 W Kenyon Rd, Urbana, IL 61801-1004

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2019 (7 years in practice)
Group practice Vitalskin Medical Group Il Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare