Rodolfo Troche, MD
NPI 1639195597ActiveIndividual· Internal Medicine, Nephrology· San Juan, PR
Internal Medicine, Nephrology (MD) in San Juan, Puerto Rico, trained at University Central del Caribe Escuela de Medicina (class of 2000). Their prescriptions cost Medicare Part D more than their services did: $233,136 for 3,147 claims, against $53,829 paid for services in 2024. Nxstage Medical, Inc. was the largest of 5 companies reporting payments in 2025, $262.62 in all, mostly food and beverage.
Overview
| NPI | 1639195597 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 14, 2006 |
| Last updated in NPPES | Dec 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 14688 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nephrology (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 152 |
|---|---|
| Services billed | 510 across 8 procedure codes |
| Paid by Medicare | $53,829 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,147 · 5,218 30-day fills |
|---|---|
| Patients | 560 |
| Total drug cost | $233,136 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University Central del Caribe Escuela de Medicina |
|---|---|
| Graduation year | 2000 |
| Medicare specialty | Nephrology |
| Secondary specialties | Internal Medicine |
Medical groups
- Neomed Center, IncTrujillo Alto, PR · 63 clinicians
- Asociacion de Maestros de P RSan Juan, PR · 10 clinicians
- San Juan Nephrology PSCSan Juan, PR · 4 clinicians
Hospital affiliations
- Auxilio Mutuo HospitalSan Juan, PR
- Hospital San FranciscoSan Juan, PR
- Metropolitan HospitalSan Juan, PR
- Presbyterian Community HospitalSan Juan, PR
Other facilities
- Fmc Rio PiedrasDialysis facility · Rio Piedras, PR
Industry payments (Open Payments)
- 2025$262.62 · 5 payments from 5 companies
- 2024$52.30 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Nxstage Medical, Inc. | $170.80 | 1 |
| Novartis Pharmaceuticals Corporation | $25.66 | 1 |
| Astrazeneca Pharmaceuticals LP | $25.00 | 1 |
| Scpharmaceuticals Inc. | $20.83 | 1 |
| Bayer Puerto Rico Inc. | $20.33 | 1 |
What the 2025 payments were for
- Food and Beverage$262.62 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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