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

Jesse Luis Rodriguez, MD

Individual provider Hospitalist Physician · NPI 1932696317

Jesse Luis Rodriguez, MD is a Hospitalist in Port Jefferson, New York. Qualified in 2017, 9 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
9
Licensed in
CA, NY
In the registry since
2018
Specialties on file
3
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

75 N Country Rd
Port Jefferson, NY 11777-2190
Phone: (516) 455-3699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 — (707) 547-5437

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A203644 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 313120 (NY)

Record details

NPI number1932696317
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2018
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address75 N Country Rd, Port Jefferson, NY 11777-2119

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Jefferson