Individual provider Active NPI

Jesus Rodriguez

  • Family Medicine Physician
  • Brownsville, TX
National Provider Identifier
1003227018
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10049288 Issued in TX
Practice address
105 E Alton Gloor Blvd
Brownsville, TX 78526-3391
Phone
(956) 831-8338
NPI assigned
May 13, 2014
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10049288 TX Primary

Addresses

Primary practice location

105 E Alton Gloor Blvd
Brownsville, TX 78526-3391

Mailing address

1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 653-6000

Other practice location 1

2222 Benwood St
Harlingen, TX 78550-8532
Phone (956) 389-2448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717003170 TX Practitioner - Family Practice 2163747973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Su Clinica FamiliarGroup PAC ID 5496663429, 24 clinicians

Practice addresses (Care Compare)

1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone (956) 365-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10049288TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Su Clinica Familiar CurrentSince Sep 1, 2023 Accepting new patients
Su Clinica Familiar Past Accepting new patients
Su Clinica Familiar PastSince Feb 9, 2025 Accepting new patients

Locations

105 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 831-8338

1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000

Networks

  • TX HMO D-SNP
  • TX HMO
  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: jesus.rodriguez.1@27715.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1003227018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 TREASURE HILLS BLVD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508911",
            "telephone_number": "956-653-6000",
            "fax_number": "956-389-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263391",
            "telephone_number": "956-831-8338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Benwood St",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508532",
            "country_code": "US",
            "telephone_number": "956-389-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JESUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10049288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.