Individual provider Active NPI

Ricardo Rodriguez Santos

  • Nephrology Physician
  • Carrollton, TX
National Provider Identifier
1275932204
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
S3057 Issued in TX
Practice address
4333 N Josey LN Ste 202
Carrollton, TX 75010
Phone
(469) 557-9627
Fax
(214) 731-0050
NPI assigned
Aug 14, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X S3057 TX Primary

Addresses

Primary practice location

4333 N Josey LN Ste 202
Carrollton, TX 75010

Mailing address

3315 Colorado Blvd Ste 102
Denton, TX 76210-6885
Phone (940) 320-1708

Other practice location 1

234 E 149th St
Bronx, NY 10451-5504
Phone (718) 579-5874

Other practice location 2

3315 Colorado Blvd Ste 102
Denton, TX 76210-6885
Phone (940) 320-1708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, TN, GA, IA, IL, CO, UT, WA, FL, NJ, PA12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20191014001700 TX Practitioner - Nephrology 3274801600 Reassigns benefits to 1 organization
I20221011001774 AZ Practitioner - Nephrology 3274801600 Reassigns benefits to 1 organization
I20221031000294 TN Practitioner - Nephrology 3274801600 Reassigns benefits to 1 organization
I20221216002305 GA Practitioner - Nephrology 3274801600 Reassigns benefits to 1 organization
I20240816003845 IA Practitioner - Nephrology 3274801600 Reassigns benefits to 1 organization
I20240822000292 IL Practitioner - Nephrology 3274801600 Reassigns benefits to 1 organization
I20250731000894 CO Practitioner - NephrologyPractitioner - Internal Medicine 3274801600 Reassigns benefits to 1 organization
I20250808003330 UT Practitioner - Nephrology 3274801600 Reassigns benefits to 1 organization
I20251211003080 WA Practitioner - Nephrology 3274801600 Reassigns benefits to 1 organization
I20260227001185 FL Practitioner - Nephrology 3274801600 Reassigns benefits to 1 organization
I20260505003441 NJ Practitioner - Nephrology 3274801600 Reassigns benefits to 1 organization
I20260526003880 PA Practitioner - NephrologyPractitioner - Internal Medicine 3274801600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5410 Maryland Way
Brentwood, TN 37027-8087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services of Colorado, PC Family Medicine CurrentSince Jul 15, 2025 Accepting new patients
Monogram Health Professional Services of Iowa PLLC Family Medicine CurrentSince Aug 5, 2024 Accepting new patients
Monogram Health Professional Services of Texas PLLC Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Monogram Health Professional Services of Florida LLC Family Medicine CurrentSince Feb 20, 2026 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Dec 5, 2022 Accepting new patients
Monogram Health Professional Services PC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients

Locations

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

1225 W Washington St
Ste 120
Tempe, AZ 85288
Phone (602) 536-6304

8354 E Northfield Blvd
Unit 3700
Denver, CO 80238
Phone (303) 390-0208

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

5410 Maryland Way
Ste 400
Brentwood, TN 37027

708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436

222 S Main St
Fl 5
Salt Lake Cty, UT 84101
Phone (231) 409-2022

Interoperability endpoints

  • Direct secure messaging: ricardo.rodriguez-santos.1@22854.direct.athenahealth.com
  • Direct secure messaging: rrodriguezsantos612153@direct.sw.org
  • Direct secure messaging: ricardo.rodriguez-santos@northtexaskidney.directbygreenway.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1275932204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 COLORADO BLVD STE 102",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106885",
            "telephone_number": "940-320-1708",
            "fax_number": "940-565-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 N JOSEY LN STE 202",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "469-557-9627",
            "fax_number": "214-731-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515504",
            "country_code": "US",
            "telephone_number": "718-579-5874",
            "fax_number": "718-579-4836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3315 Colorado Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106885",
            "country_code": "US",
            "telephone_number": "940-320-1708",
            "fax_number": "940-565-5457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ SANTOS",
        "first_name": "RICARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "S3057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.