Individual provider Active NPI

Rodolfo J Walss, M.D.

  • Obstetrics Physician
  • Brownsville, TX
National Provider Identifier
1184683104
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
J1423 Issued in TX
Practice address
4770 N Expressway
205
Brownsville, TX 78526-4120
Phone
(956) 350-0838
Fax
(956) 350-2141
NPI assigned
Mar 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X J1423 TX Primary

Addresses

Primary practice location

4770 N Expressway
205
Brownsville, TX 78526-4120

Mailing address

4770 N Expressway
205
Brownsville, TX 78526-4120
Phone (956) 350-0838

Other identifiers 1

IdentifierTypeStateIssuer
132572207MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J1423TXMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rodolfo J. Walss MD PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1184683104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY",
            "address_2": "205",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264120",
            "telephone_number": "956-350-0838",
            "fax_number": "956-350-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 N EXPRESSWAY",
            "address_2": "205",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264120",
            "telephone_number": "956-350-0838",
            "fax_number": "956-350-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSS",
        "first_name": "RODOLFO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "J1423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132572207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.