Individual provider Active NPI

Stephen Matthew Rodriguez, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1215514245
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
U8121 Issued in TX
Practice address
3411 Oak Grove Ave Apt 615
Dallas, TX 75204-2891
Phone
(832) 212-3834
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X U8121 TX Primary

Addresses

Primary practice location

3411 Oak Grove Ave Apt 615
Dallas, TX 75204-2891

Mailing address

3411 Oak Grove Ave Apt 615
Dallas, TX 75204-2891
Phone (832) 212-3834

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830001783 TX Practitioner - Emergency Medicine 0840739157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (469) 420-5527

13338 Tomball Pkwy
Houston, TX 77086-3129
Phone (346) 422-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U8121TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients

Locations (25 of 38)

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

4019 Interstate 45 N
Conroe, TX 77304
Phone (936) 856-1100

9645 Barker Cypress Rd
Cypress, TX 77433
Phone (281) 256-1456

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

22475 Tomball Pkwy
Houston, TX 77070
Phone (281) 320-5800

7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-3498

2727 W Holcombe Blvd
Houston, TX 77025
Phone (713) 790-9412

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

6191 E Sam Houston Pkwy N
Houston, TX 77049
Phone (281) 454-2600

13338 Tomball Pkwy
Houston, TX 77086
Phone (281) 517-1000

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

6002 Fairmont Pkwy
Pasadena, TX 77505
Phone (713) 359-2100

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1215514245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 OAK GROVE AVE APT 615",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042891",
            "telephone_number": "832-212-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 OAK GROVE AVE APT 615",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042891",
            "telephone_number": "832-212-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STEPHEN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U8121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.