Individual provider Active NPI

Mario Alberto Rodriguez Jr., AGACNP

  • Critical Care Medicine Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1043798101
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
AP138280 Issued in TX
Practice address
4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone
(713) 359-2000
NPI assigned
Aug 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X AP138280 TX Primary

Addresses

Primary practice location

4000 Spencer Hwy
Pasadena, TX 77504-1202

Mailing address

3833 Dunlavy St Apt 346
Houston, TX 77006-4750
Phone (832) 398-4981

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
I20190211001849 TX Practitioner - Nurse Practitioner 5193063527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Intensivists at Gulf Coast, PLLCGroup PAC ID 9537410972, 49 clinicians

Practice addresses (Care Compare)

4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone (713) 359-2000

Hospital & facility affiliations

  • HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP138280TXMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Physician Services of Texas, Inc CurrentSince Apr 1, 2023 Accepting new patients
Idoc Telehealth Solutions, Inc CurrentSince Jul 19, 2022 Accepting new patients
Lone Star Intensivists at Gulf Coast, PLLC CurrentSince Aug 12, 2022 Accepting new patients
Michael F Campbell MD PA Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

4635 Southwest Fwy
Ste 525
Houston, TX 77027
Phone (503) 421-5124

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

Interoperability endpoints

  • Direct secure messaging: mario.rodriguez@hca2.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1043798101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 DUNLAVY ST APT 346",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064750",
            "telephone_number": "832-398-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041202",
            "telephone_number": "713-359-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIO",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "AP138280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.