NPIMap

Individual provider Active NPI

Ronald L Rodriguez, DO

  • Internal Medicine Physician
  • Corsicana, TX
National Provider Identifier
1124093893
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L8176 Issued in 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
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

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

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 3

IdentifierTypeStateIssuer
8W4543OtherTXBLUE CROSS
167882303MedicaidTX
167882302MedicaidTX

Electronic endpoints 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

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

Procedures performed for Medicare patients

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

National Provider Directory

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

Practice roles

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

Locations

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

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

400 Hospital Dr
Ste 111
Corsicana, TX 75110
Phone (903) 461-7766

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

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

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

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

Ownership & related parties

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 CareCorsicana, TX, CCN 671518 Hospice Contracted Managing Employee Mar 1, 2024

Owned or controlled facilities with NPI records 1

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

  • S. and M.S. LLC

    dba Arc Hospice & Palliative Care

    • Community Based Hospice Care Agency
    • Corsicana, TX
    • NPI 1114008331

    Contracted Managing Employee

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8W4543",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167882303",
            "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

Sources for this page

Verify at the official NPI Registry.