Individual provider Active NPI

Victor Ramon Rodriguez, M.D., M.S.

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1295982452
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P0123 Issued in TX
Practice address
330 Brookline Ave
WCCB-90
Boston, MA 02215
Phone
(617) 276-7177
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 236442 MA
Diagnostic Radiology Physician 2085R0202X P0123 TX Primary

Addresses

Primary practice location

330 Brookline Ave
WCCB-90
Boston, MA 02215

Mailing address

790 Boylston St
Apt 16E
Boston, MA 02199-7928
Phone (617) 276-7177

Other practice location 1

401 Liberty Ave Ste 2000
Pittsburgh, PA 15222-1029
Phone (412) 223-8200

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
I20120117000335 TX Practitioner - Diagnostic Radiology 6709924350 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vesta Telemedicine Solutions PLLCGroup PAC ID 9638585706, 39 clinicians

Practice addresses (Care Compare)

4953 Oakhurst LN
Frisco, TX 75034-2167
Phone (407) 738-4085

Hospital & facility affiliations

  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
  • Wilson N Jones Regional Medical Center Hospital, Sherman, TX, CCN 450469
  • Mitchell County Hospital District Hospital, Colorado City, TX, CCN 451342
  • Nacogdoches Memorial Hospital Hospital, Nacogdoches, TX, CCN 450508
  • Knox County Hospital Hospital, Knox City, TX, CCN 451394

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236442MAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star FP, LP CurrentSince Jan 1, 2020 Accepting new patients
North Star MCD, LLC Current Accepting new patients
North Star MRI LP CurrentSince Jan 1, 2020 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Jul 26, 2025 Accepting new patients
RFC Radiology Associates LLC Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
North Star MCD LLC CurrentSince Jan 1, 2020 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Texas Imaging Partners, LLC CurrentSince Mar 20, 2025 Accepting new patients
Vesta Telemedicine Solutions, PLLC Neuroradiology CurrentSince Mar 30, 2025 Accepting new patients
Epic Laboratory Services Inc. CurrentSince Mar 1, 2021 Accepting new patients
North Star MCD, LLC CurrentSince Jan 1, 2020 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Buchmann Biomedical Imaging LLC CurrentSince Mar 1, 2025 Accepting new patients
Radpod FL PLLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Comanche County Medical Center Company CurrentSince Jul 1, 2025 Accepting new patients
North Star FM, LP CurrentSince Jan 1, 2020 Accepting new patients
North Star GV, LP CurrentSince Jan 1, 2020 Accepting new patients
Comanche County Medical Center Company CurrentSince Jul 1, 2025 Accepting new patients
North Star Plano Parkway, LP CurrentSince Jan 1, 2020 Accepting new patients
North Star MRI of Frisco LP CurrentSince Jan 1, 2020 Accepting new patients
Calera, Inc. CurrentSince Feb 27, 2025 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Jan 1, 2020 Accepting new patients
Southlake Radiology PA Diagnostic Radiology Past Accepting new patients
Olean Radiology, PC Diagnostic Radiology Past Accepting new patients
Sleep Insights Medical Services, LLC PastSince Dec 1, 2015 Accepting new patients
Olean Open MRI PC Diagnostic Radiology Past Accepting new patients
Imagecare Radiology PLLC Diagnostic Radiology PastSince Jan 14, 2024 Accepting new patients
Advantagehealth Medical Services, PC Past Accepting new patients

Locations

310 SE Veranda Falls Way
Port St Lucie, FL 34984
Phone (561) 800-4111

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

997 Raintree Cir
Ste 110
Allen, TX 75013

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

8501 Wade Blvd
#220N
Frisco, TX 75034

2535 Ira E Woods Ave
Ste 101
Grapevine, TX 76051

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

1300 S Bryan Rd
Mission, TX 78572
Phone (956) 583-0004

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

330 W Interstate 2
Weslaco, TX 78599
Phone (956) 520-3300

Interoperability endpoints

  • Direct secure messaging: victor.rodriguez.1@17617.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22039/brand/2/csg/1/fhir/r4
  • Direct secure messaging: vrodriguez262134@ahs.direct-ci.com

Organizations & group practices 29

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.

View all 29

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1295982452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 BOYLSTON ST",
            "address_2": "APT 16E",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997928",
            "telephone_number": "617-276-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "address_2": "WCCB-90",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02215",
            "telephone_number": "617-276-7177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Liberty Ave Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152221029",
            "country_code": "US",
            "telephone_number": "412-223-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "VICTOR",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "236442",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P0123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.