Active NPI
Elizabeth Ann Rodriguez Lien, M.D.
- Pediatrics Physician
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- Q4265
- Practice address
- Utmb Childrens Hospital 3 230
301 University Blvd
Galveston, TX 77555-0354 - Phone
- (409) 747-0534
- Fax
- (409) 747-0721
- NPI assigned
- May 11, 2012
- Last updated
- Aug 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Q4265 | TX | Primary |
Addresses
Primary practice location
Utmb Childrens Hospital 3 230
301 University Blvd
Galveston, TX 77555-0354
Mailing address
Utmb Children's Hospital 3 230
301 University Blvd
Galveston, TX 77555-0354
Phone (409) 747-0534
Other names 1
- Elizabeth Ann Rodriguez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q4265 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Pediatrics | Current | Accepting new patients |
Locations
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
2785 Gulf Fwy S
Ste 200
League City, TX 77573
Phone (409) 772-3695
Interoperability endpoints
- erodriguezlienmd5342@direct.utmb.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439769600000",
"number": "1205195179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UTMB CHILDREN'S HOSPITAL 3 230",
"address_2": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550354",
"telephone_number": "409-747-0534",
"fax_number": "409-747-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UTMB CHILDRENS HOSPITAL 3 230",
"address_2": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550354",
"telephone_number": "409-747-0534",
"fax_number": "409-747-0721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ LIEN",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-11",
"last_updated": "2015-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q4265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "RODRIGUEZ",
"middle_name": "ANN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.