Ronald L Rodriguez, DO

Individual provider Active NPI Internal Medicine Physician · Corsicana, TX

NPI 1124093893 · NPPES record last updated Sep 11, 2020

Key facts

NPI
1124093893
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
L8176 (TX)
Practice address
400 Hospital Dr Ste 116
Corsicana, TX 75110-2489
Phone
(903) 641-3820
Fax
(903) 641-3821
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regional Employee Assistance Program Inc (102 clinicians)

Practice addresses (Care Compare)

108 N Robb St
Trinity, TX 75862-7602
Phone (409) 594-7632

3001 W 4TH Ave
Twilight Nursing Home
Corsicana, TX 75110-3913
Phone (903) 872-2521

3002 W 2ND Ave
Heritage Oaks Retirement
Corsicana, TX 75110-2492
Phone (903) 872-5130

400 Hospital Dr
Corsicana, TX 75110-2489

Hospital & facility affiliations

  • Elara Caring Home health agency · Teague, TX · CCN 458346
  • Arc Hospice and Palliative Care Hospice · Corsicana, TX · CCN 671518
  • Navarro Regional Hospital Hospital · Corsicana, TX · CCN 450447
  • The Village at Heritage Oaks Nursing home · Corsicana, TX · CCN 675581
  • Twilight Home Nursing home · Corsicana, TX · CCN 676014
  • Legacy at Corsicana Rehabilitation and Healthcare Nursing home · Corsicana, TX · CCN 675501
  • Meadows of Corsicana, LLC Nursing home · Corsicana, TX · CCN 675251

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Arc Hospice & Palliative Care
Corsicana, TX · CCN 671518
Hospice Contracted Managing Employee Mar 1, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041006000427 TX Practitioner - Internal Medicine 7517926538 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
L8176TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Current
since Feb 1, 2007
Accepting new patients
Christus Trinity Clinic Texas Internal Medicine Current
since Jul 1, 2005
Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine Current
since Feb 1, 2007
Accepting new patients
Christus Trinity Clinic Texas Current
since Jul 1, 2005
Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine Current Accepting new patients
Southwest LTC - Corsicana LLC Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Southwest LTC - Corsicana West LLC Past Accepting new patients

Locations

400 Hospital Dr
Ste 111
Corsicana, TX 75110

400 Hospital Dr
Ste 116
Corsicana, TX 75110
Phone (903) 641-3820

3300 W 2nd Ave
Corsicana, TX 75110
Phone (903) 282-1273

301 Hospital Dr
Corsicana, TX 75110
Phone (903) 641-4800

400 Hospital Dr
Ste 200
Corsicana, TX 75110
Phone (903) 641-4856

400 Hospital Dr
Ste 115
Corsicana, TX 75110
Phone (903) 641-3850

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: ronald.rodriguez.1@1902.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L8176 TX Yes

Addresses

Primary practice location

400 Hospital Dr Ste 116
Corsicana, TX 75110-2489

Mailing address

400 Hospital Dr Ste 111
Corsicana, TX 75110-2489
Phone (903) 641-4895

Other identifiers

IdentifierTypeStateIssuer
167882303MedicaidTX
8W4543OtherTXBLUE CROSS
167882302MedicaidTX

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address ronald.rodriguez.1@1902.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2020.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1124093893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HOSPITAL DR STE 111",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102489",
            "telephone_number": "903-641-4895",
            "fax_number": "903-641-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOSPITAL DR STE 116",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102489",
            "telephone_number": "903-641-3820",
            "fax_number": "903-641-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RONALD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167882303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8W4543",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167882302",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ronald.rodriguez.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "400 Hospital Dr Ste 116",
            "city": "Corsicana",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751102489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corsicana, TX

All providers in Corsicana, TX · Internal Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.