Individual provider Active NPI

Rodney Menezes, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1023316536
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12956 Issued in TX
Practice address
8721 Botts St Ste 210
San Antonio, TX 78217-6334
Phone
(210) 905-0663
NPI assigned
Mar 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1097219 GA
Physician Assistant 363A00000X PA12956 TX Primary

Addresses

Primary practice location

8721 Botts St Ste 210
San Antonio, TX 78217-6334

Mailing address

8721 Botts St Ste 210
San Antonio, TX 78217-6334

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
I20191017002921 TX Practitioner - Physician Assistant 7517298813 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1097219GAMDPhysician Assistant
PA12956TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Health Clinic PLLC CurrentSince Mar 28, 2026 Accepting new patients

Locations

20627 Huebner Rd
Ste 101
San Antonio, TX 78258

Interoperability endpoints

  • Direct secure messaging: rodney.menezes.1@29741.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1023316536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8721 BOTTS ST STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8721 BOTTS ST STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176334",
            "telephone_number": "210-905-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEZES",
        "first_name": "RODNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "1097219",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.