Randall W Rodgers, D.O.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

G0020 Issued in TX

Practice address

13027 State Highway 155 S
Tyler, TX 75703-6560

Phone

(903) 839-1000

Fax

(903) 839-4000

NPI assigned

Jun 24, 2006

Last updated

Apr 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

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

Specialty

Family PracticeAlso: Interventional Pain Management, Pain Management

Education

Texas Tech University Health Science Center School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carefirst Medical Associates and Pain Rehabilitation, PAGroup PAC ID 3173533155, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cfrodgers@7d09f7b8.micromddirect.com

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.

• Carefirst Medical Associates and Pain Rehabilitation, PA

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1114953767
  Medicare reassignment Care Compare group NPD Authorized official
• Carefirst Medical Associates and Pain Rehabilitation, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Worth, TX
  • NPI 1780817866
  Authorized official Same address or phone
• Advanta Genetics LLC

  dba Advanta Analytical Laboratories

  • Clinical Medical Laboratory
  • Tyler, TX
  • NPI 1134559685
  NPD
• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1104852888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13027 STATE HIGHWAY 155 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036560",
            "telephone_number": "903-839-1000",
            "fax_number": "903-839-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13027 STATE HIGHWAY 155 S",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036560",
            "telephone_number": "903-839-1000",
            "fax_number": "903-839-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "RANDALL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0020",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "G0020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8V0490",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00342603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING",
            "identifier": "43848",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "1104852888",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1287773-08",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING MEDICARE ADVANTAGE",
            "identifier": "663166",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dixie Autum Rochester, RN, BSN, NP
• Rayce Collin Rockey, LCSW
• Kelly Roden, MD
• Kathryn M Rodgers
• Mary Rodgers
• Isaac Rodgerson
• Maria Isabel Rodriguez Mendez
• Angel Emmanuel Rodriguez Pena, DDS, MSD
• Elijah Luis Rodriguez, MA, LPC-A
• Jesus Rodriguez

• Interventional Pain Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.