Individual provider Active NPI

Jorge Eduardo Massare-Rodriguez, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Longview, TX
National Provider Identifier
1093973661
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
M7577 Issued in TX
Practice address
709 Hollybrook Dr
Suite 2301
Longview, TX 75605-2411
Phone
(903) 757-5804
Fax
(903) 232-2888
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M7577 TX
Clinical Cardiac Electrophysiology Physician 207RC0001X M7577 TX Primary

Addresses

Primary practice location

709 Hollybrook Dr
Suite 2301
Longview, TX 75605-2411

Mailing address

PO Box 19036
Belfast, ME 04915-4085
Phone (903) 381-7263

Other identifiers 1

IdentifierTypeStateIssuer
205353003MedicaidTX

Other names 1

  • Dr. Jorge Eduardo Massare Other name

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
I20090730000265 TX Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 8022161579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Clinics of LongviewGroup PAC ID 7214016559, 38 clinicians

Practice addresses (Care Compare)

709 Hollybrook Dr
Suite 2301
Longview, TX 75605-2412
Phone (903) 757-4691

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair106
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7577TXMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Clinics of Longview CurrentSince Mar 5, 2012 Accepting new patients
Diagnostic Clinic of Longview PA Past Accepting new patients

Locations

805 Medical Cir
Longview, TX 75605
Phone (903) 232-8100

701 E Marshall Ave
Ste 300
Longview, TX 75601
Phone (903) 315-2730

709 Hollybrook Dr
Ste 2301
Longview, TX 75605
Phone (903) 757-4691

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

707 Hollybrook Dr
Ste 504
Longview, TX 75605
Phone (903) 232-8501

Interoperability endpoints

  • Direct secure messaging: jorge.massare-rodrigu.1@16432.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hood Medical GroupGranbury, TX, CCN 678907 Rural health clinic Corporate Director Sep 30, 2022
Hood Medical GroupGranbury, TX, CCN 678908 Rural health clinic Corporate Director Sep 30, 2022
Hood Medical GroupGranbury, TX, CCN 678906 Rural health clinic Corporate Director Sep 30, 2022
Hood Medical GroupGranbury, TX, CCN 678909 Rural health clinic Corporate Director Sep 30, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1093973661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19036",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154085",
            "telephone_number": "903-381-7263",
            "fax_number": "903-381-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HOLLYBROOK DR",
            "address_2": "SUITE 2301",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052411",
            "telephone_number": "903-757-5804",
            "fax_number": "903-232-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARE-RODRIGUEZ",
        "first_name": "JORGE",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M7577",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "M7577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205353003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORGE",
            "last_name": "MASSARE",
            "middle_name": "EDUARDO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.