Individual provider Active NPI

Timothy David Rodriguez, FNP-C

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1093377319
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP141911 Issued in TX
Practice address
98 Briggs St Ste 800
San Antonio, TX 78224-1287
Phone
(210) 927-9500
Fax
(210) 927-9200
NPI assigned
Jul 8, 2019
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP141911 TX Primary

Addresses

Primary practice location

98 Briggs St Ste 800
San Antonio, TX 78224-1287

Mailing address

98 Briggs St Ste 800
San Antonio, TX 78224-1287
Phone (210) 927-9500

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
I20190830000967 TX Practitioner - Nurse Practitioner 6204164189 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bexar Emergency Physicians PLLCGroup PAC ID 4981049129, 45 clinicians

Practice addresses (Care Compare)

2827 Babcock Rd
San Antonio, TX 78229-4813
Phone (210) 705-6300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

Merit-based Incentive Payment System (MIPS)

Final score
94.46 of 100Reported as group
Quality
92.48
Improvement activities
40
Cost
72.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP141911TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC CurrentSince Sep 7, 2019 Accepting new patients
Southwest General Emergency Physicians, PLLC Nurse Practitioner Current Accepting new patients
Emergency Medicine Services of TX, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Victoria Emergency Associates LLC CurrentSince Oct 1, 2020 Accepting new patients
Bexar Emergency Physicians, PLLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Comal Emergency Physicians, PLLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Bonita Creek Emergency Services PLLC CurrentSince Apr 15, 2022 Accepting new patients

Locations (25 of 27)

100 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 350-7000

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

244 Creekside Xing
New Braunfels, TX 78130
Phone (830) 426-7700

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11130 Christus Hls
Ste 119
San Antonio, TX 78251
Phone (210) 703-9800

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

1434 E Sonterra Blvd
Ste 101
San Antonio, TX 78258
Phone (210) 686-8000

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911

5106 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 575-0355

6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8703 Bandera Rd
San Antonio, TX 78250
Phone (210) 332-5460

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

20475 State Highway 46 W
Ste 100
Spring Branch, TX 78070
Phone (830) 252-5200

Organizations & group practices 7

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1093377319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BRIGGS ST STE 800",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241287",
            "telephone_number": "210-927-9500",
            "fax_number": "210-927-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BRIGGS ST STE 800",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241287",
            "telephone_number": "210-927-9500",
            "fax_number": "210-927-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "TIMOTHY",
        "middle_name": "DAVID",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP141911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.