Rodolfo R. Canizales-Collazo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S0643 Issued in TX

Practice address

2648 Loop 337
New Braunfels, TX 78132

Phone

(830) 310-3203

Fax

(830) 310-3204

NPI assigned

May 13, 2015

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of Texas Medical Branch at Galveston, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David P Ellent PLLCGroup PAC ID 7012290885, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Homecare Home health agency, New Braunfels, TX, CCN 677544
• Resolute Health Hospital Hospital, New Braunfels, TX, CCN 670098
• Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
• Christus Santa Rosa Hospital-San Marcos Hospital, San Marcos, TX, CCN 450272

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rodolfo.canizales.collazo.1@19704.direct.athenahealth.com
• Direct secure messaging: rodolfo.canizales@direct.myteamcare.com

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.

• David P Ellent PLLC

  • Pulmonary Disease Physician
  • Spring, TX
  • NPI 1245777440
  Medicare reassignment Care Compare group NPD
• David P Ellent PLLC

  dba Genesis Medical Group

  • Clinical Medical Laboratory
  • Kingwood, TX
  • NPI 1891348959
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Santa Rosa Health Care Corporation

  dba Christus Santa Rosa Hospital - New Braunfels

  • General Acute Care Hospital
  • New Braunfels, TX
  • NPI 1114725033
  Care Compare affiliation
• Christus Santa Rosa Health Care Corporation

  dba Christus Santa Rosa Hospital - San Marcos

  • General Acute Care Hospital
  • San Marcos, TX
  • NPI 1447883301
  Care Compare affiliation
• LHCG CXV, LLC

  dba CHRISTUS HomeCare

  • Home Health Agency
  • New Braunfels, TX
  • NPI 1588187082
  Care Compare affiliation
• Resolute Hospital Company, LLC

  dba Resolute Health Hospital

  • General Acute Care Hospital
  • New Braunfels, TX
  • NPI 1427472463
  Care Compare affiliation
• VHS San Antonio Partners LLC

  dba Baptist Medical Center

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1598744856
  Care Compare affiliation

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1245618065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 LOOP 337",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78132",
            "telephone_number": "830-310-3203",
            "fax_number": "830-310-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2648 LOOP 337",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78132",
            "telephone_number": "830-310-3203",
            "fax_number": "830-310-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANIZALES-COLLAZO",
        "first_name": "RODOLFO",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-13",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S0643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatyana Elyssa Campos
• Faith Canales
• Cancer Care Centers of South Texas - New Braunfels
• Cancer Care Network of South Texas PA
• Tifarah Marie Canion, LPC-A
• Cansecos Family Transport
• Ulysees T Cantero
• Amy Cantrell
• Anna Maria Cantu, RPH
• Canyon Lake Eye Care PLLC

• Family Medicine Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.
• 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.