Individual provider Active NPI

Rogelio Garcia-Cavazos, M.D.

  • Rheumatology Physician
  • Nacogdoches, TX
National Provider Identifier
1275579336
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
L7387 Issued in TX
Practice address
4848 NE Stallings Dr
Suite 205
Nacogdoches, TX 75965-1239
Phone
(936) 568-3364
Fax
(936) 462-4450
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L7387 TX
Rheumatology Physician 207RR0500X L7387 TX Primary

Addresses

Primary practice location

4848 NE Stallings Dr
Suite 205
Nacogdoches, TX 75965-1239

Mailing address

4848 NE Stallings Dr
Suite 205
Nacogdoches, TX 75965-1239
Phone (936) 568-3364

Other identifiers 5

IdentifierTypeStateIssuer
092953101MedicaidTX
081896501MedicaidTX
163022004MedicaidTX
8K5416OtherTXBLUE CROSS BLUE SHIELD
P00175266OtherTXPALMETTO GBA

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
I20040311000633 TX Practitioner - Internal MedicinePractitioner - Rheumatology 5193614956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4848 Nestallings Dr
Suite 205
Nacogdoches, TX 75965-1266

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2017 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2017 Accepting new patients
Laredo Molecular Imaging, LTD Past Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

631 N Resler Dr
Ste 101
El Paso, TX 79912
Phone (915) 842-0676

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

4848 NE Stallings Dr
Ste 205
Nacogdoches, TX 75965
Phone (936) 560-6939

2720 N University Dr
Nacogdoches, TX 75965
Phone (936) 205-9824

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: rogelio.garciacavazos.p65@direct.tenet.nextgenshare.com
  • Direct secure messaging: rogelio.garcia-cavazos.1@1438.direct.athenahealth.com

Organizations & group practices 4

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1275579336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DR",
            "address_2": "SUITE 205",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651239",
            "telephone_number": "936-568-3364",
            "fax_number": "936-462-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DR",
            "address_2": "SUITE 205",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651239",
            "telephone_number": "936-568-3364",
            "fax_number": "936-462-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-CAVAZOS",
        "first_name": "ROGELIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7387",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "L7387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092953101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081896501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163022004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8K5416",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00175266",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.