Active NPI
Mike Edward Rodriguez, M.D.
- Cardiovascular Disease Physician
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- J5883
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116704102 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Corpus Christi Medical Center,the
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J5883 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
| Cardiac Ambulatory Surgery Center of Corpus Christi, LLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Cardiology Associates of Corpus Christi | Cardiovascular Disease | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mike.rodriguez.p1@direct.cacc.nextgenshare.com
- 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.
-
- Cardiovascular Disease Physician
- Corpus Christi, TX
- NPI 1669443826
-
- Ambulatory Surgical Clinic/Center
- Corpus Christi, TX
- NPI 1376123257
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Clinic/Center
- Corpus Christi, TX
- NPI 1760521439
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1508810573
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2023; 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.