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

Gabino Manuel Mariano Maza Rodas, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710484241

Gabino Manuel Mariano Maza Rodas, MD is a Nephrology in Madison, Wisconsin. Qualified in 2014, 12 years ago. Practices with Kidney Care Clinic PLLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
12
Licensed in
IL, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Madison, WI

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 75118-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125.072445 (IL)

Record details

NPI number1710484241
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kidney Care Clinic Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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