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
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 1
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
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
- Arc Hospice and Palliative Care
- Navarro Regional Hospital
- The Village at Heritage Oaks
- Twilight Home
- Legacy at Corsicana Rehabilitation and Healthcare
- Meadows of Corsicana, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
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
| Facility | Type | Role | Since |
|---|---|---|---|
| Arc Hospice & Palliative Care |
Hospice | Contracted Managing Employee | Mar 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041006000427 | TX | Practitioner - Internal Medicine | 7517926538 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8176 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Internal Medicine | Current |
Accepting new patients |
| Regional Employee Assistance Program Inc | Internal Medicine | Current |
Accepting new patients |
| Christus Trinity Clinic Texas | Current |
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
- ronald.rodriguez.1@1902.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167882303 | Medicaid | TX | |
| 8W4543 | Other | TX | BLUE CROSS |
| 167882302 | Medicaid | TX |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ronald.rodriguez.1@1902.direct.athenahealth.com |
NPI Registry JSON
{
"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
- Merideth Riedel
- Emilye Robbins
- Robert W Adelman Et Al PTR Kelman and Associates
- Condred W Roberts
- Dania Lizbeth Rodriguez
- Rypin Rogers
- Emmah Rosana
- Kelly L. Ross
- Hanna Rowe
- Priya Roy Chaudhury
All providers in Corsicana, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.