Individual provider Active NPI

Eleazar Rodriguez, PA-C

  • Medical Physician Assistant
  • La Feria, TX
National Provider Identifier
1023031218
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03117 Issued in TX
Practice address
106 N Main St
La Feria, TX 78559-5003
Phone
(956) 797-2002
Fax
(956) 922-0250
NPI assigned
Jul 26, 2006
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA03117 TX Primary

Addresses

Primary practice location

106 N Main St
La Feria, TX 78559-5003

Mailing address

PO Box 850001, Dept 8340
Orlando, FL 32885-0001
Phone (855) 536-7277

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eleazar.rodriguez@mcmgfl.eclinicaldirectplus.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180125000059 TX Practitioner - Physician Assistant 6800155607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mycare Medical of Texas PLLCGroup PAC ID 6103206610, 27 clinicians

Practice addresses (Care Compare)

106 N Main St
La Feria, TX 78559-5003
Phone (956) 797-2002

525 S 10TH St
Raymondville, TX 78580-2508
Phone (956) 689-2493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Pasco Primary Care LLC PastSince Oct 6, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eleazar.rodriguez@mcmgfl.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1023031218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001, DEPT 8340",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "855-536-7277",
            "fax_number": "855-830-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N MAIN ST",
            "city": "LA FERIA",
            "state": "TX",
            "postal_code": "785595003",
            "telephone_number": "956-797-2002",
            "fax_number": "956-922-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELEAZAR",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eleazar.rodriguez@mcmgfl.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "106 N Main St",
            "city": "LA Feria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785595003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Feria, TX

Sources for this page

Verify at the official NPI Registry.