Organization Active NPI

Michael Rhodes MD Ms PA

  • Family Medicine Physician
  • Burleson, TX
National Provider Identifier
1184755571
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K4207 Issued in TX
Legal business name
MICHAEL RHODES MD MS PA
Practice address
101 NW Renfro St
Suite 100
Burleson, TX 76028-4111
Phone
(817) 295-6322
Fax
(844) 270-6809
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Mrs. Karyl Lee Rhodes
Title
Office Manager
Phone
(817) 295-6322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K4207 TX Primary

Addresses

Primary practice location

101 NW Renfro St
Suite 100
Burleson, TX 76028-4111

Mailing address

101 NW Renfro St
Suite 100
Burleson, TX 76028-4111
Phone (817) 295-6322

Other identifiers 2

IdentifierTypeStateIssuer
210685802MedicaidTX
210685801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100312000514 TX Part B Supplier - Clinic/Group Practice 6305971599 Receives reassigned benefits from 1 practitioner
Practice locations: Burleson, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0908564Michael a Rhodes MD Ms PA101 NW Renfro Stree, Suite 100, Burleson, TX 76028Certificate of waiverJul 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Michael a Rhodes MD Ms PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1161 SW Wilshire Blvd
#105
Burleson, TX 76028
Phone (817) 295-6322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1184755571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NW RENFRO ST",
            "address_2": "SUITE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284111",
            "telephone_number": "817-295-6322",
            "fax_number": "844-270-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW RENFRO ST",
            "address_2": "SUITE 100",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284111",
            "telephone_number": "817-295-6322",
            "fax_number": "844-270-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL RHODES MD MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "KARYL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-295-6322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K4207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210685802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210685801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.