Individual provider Active NPI

Mike Edward Rodriguez, M.D.

  • Cardiovascular Disease Physician
  • Corpus Christi, TX
National Provider Identifier
1306847504
Registry record updated Nov 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
J5883 Issued in TX
Practice address
1521 S Staples St
Suite 700
Corpus Christi, TX 78404-3150
Phone
(361) 888-8271
Fax
(361) 885-3699
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J5883 TX
Interventional Cardiology Physician 207RI0011X J5883 TX
Cardiovascular Disease Physician 207RC0000X J5883 TX Primary

Addresses

Primary practice location

1521 S Staples St
Suite 700
Corpus Christi, TX 78404-3150

Mailing address

1521 S Staples St Ste 700
Corpus Christi, TX 78404-3160
Phone (361) 888-8271

Other identifiers 1

IdentifierTypeStateIssuer
116704102MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mike.rodriguez.p1@direct.cacc.nextgenshare.com Cardiology Associates of Corpus Christi

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000359 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9032218755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1311 E General Cavazos Blvd
Kingsville, TX 78363-7123

1521 S Staples St
Suite 500
Corpus Christi, TX 78404-3150
Phone (361) 888-8271

600 Elizabeth St
Corpus Christi, TX 78404-2235
Phone (361) 881-3000

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046
  • Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5883TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Cardiac Ambulatory Surgery Center of Corpus Christi, LLC Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2023 Accepting new patients
Cardiology Associates of Corpus Christi Cardiovascular Disease CurrentSince Jan 27, 1994 Accepting new patients
Corpus Christi Cardiovascular Imaging, LP Past Accepting new patients

Locations

2520 E Main St
Ste 200
Alice, TX 78332
Phone (361) 453-4117

301 S Hillside Dr
Ste 9
Beeville, TX 78102
Phone (361) 888-8271

7121 Spid Dr
Ste 112
Corpus Christi, TX 78412
Phone (361) 299-0250

1521 S Staples St
Ste 700
Corpus Christi, TX 78404
Phone (361) 888-8271

1521 S Staples St
Ste 102
Corpus Christi, TX 78404
Phone (361) 888-7779

1521 S Staples St
Ste 704
Corpus Christi, TX 78404
Phone (512) 888-8271

1311 Gen Cvazos Blvd
Ste B
Kingsville, TX 78363
Phone (361) 221-9341

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mike.rodriguez.p1@direct.cacc.nextgenshare.com
  • Direct secure messaging: mrodriguez254248@christushealth.direct-ci.net

Organizations & group practices 5

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 2

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700265600000",
    "number": "1306847504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST STE 700",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043160",
            "telephone_number": "361-888-8271",
            "fax_number": "361-885-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 S STAPLES ST",
            "address_2": "SUITE 700",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043150",
            "telephone_number": "361-888-8271",
            "fax_number": "361-885-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MIKE",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J5883",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "J5883",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J5883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116704102",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mike.rodriguez.p1@direct.cacc.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Address",
            "affiliationName": "Cardiology Associates of Corpus Christi",
            "address_1": "1521 S Staples St Ste 700",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784043160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.