Individual provider Active NPI

Roxanne Rodriguez, P.A.-C

  • Physician Assistant
  • Live Oak, TX
National Provider Identifier
1093989352
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05692 Issued in TX
Practice address
12602 Toepperwein Rd Ste 100
Live Oak, TX 78233-3204
Phone
(210) 654-0030
Fax
(877) 212-6201
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05692 TX Primary

Addresses

Primary practice location

12602 Toepperwein Rd Ste 100
Live Oak, TX 78233-3204

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (210) 654-0030

Other identifiers 2

IdentifierTypeStateIssuer
320253302MedicaidTX
8439NMOtherTXBCBSTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address roxanne.rodriguez.1@29601.direct.athenahealth.com Direct

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
I20090115000469 TX Practitioner - Physician Assistant 6709949878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management of Texas, P.a.Group PAC ID 8729302278, 146 clinicians

Practice addresses (Care Compare)

260 US Hwy 181 N
Floresville, TX 78114-3136
Phone (830) 393-8222

Hospital & facility affiliations

  • Accentcare Home Health of Texas Home health agency, San Antonio, TX, CCN 679174
  • Methodist Healthcare at Home Home health agency, San Antonio, TX, CCN 679424

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (SC) PC CurrentSince Jan 1, 2015 Accepting new patients
West Texas Orthopedics LLP Past Accepting new patients
Riverwalk Clinic, LLC Past Accepting new patients
Midland Texas Orthopedic Group Inc Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

12602 Toepperwein Rd
Ste 100
Live Oak, TX 78233
Phone (210) 620-9669

414 Navarro St
Ste 809
San Antonio, TX 78205
Phone (210) 225-4810

Interoperability endpoints

  • Direct secure messaging: roxanne.rodriguez.1@29601.direct.athenahealth.com

Organizations & group practices 5

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1093989352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "210-654-0030",
            "fax_number": "877-212-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 TOEPPERWEIN RD STE 100",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333204",
            "telephone_number": "210-654-0030",
            "fax_number": "877-212-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ROXANNE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320253302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8439NM",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roxanne.rodriguez.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12602 Toepperwein Rd",
            "address_2": "Suite 100",
            "city": "Live Oak",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782333269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.