Individual provider Active NPI

Roger Rodenhuis, MD

  • Anesthesiology Physician
  • Henderson, TX
National Provider Identifier
1316030380
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
J9308 Issued in TX
Practice address
SL57 Lake Cherokee
Henderson, TX 75652
Phone
(817) 516-8811
Fax
(817) 516-8444
NPI assigned
Oct 2, 2006
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X J9308 TX Primary

Addresses

Primary practice location

SL57 Lake Cherokee
Henderson, TX 75652

Mailing address

PO Box 7909
Longview, TX 75607-7909
Phone (817) 516-8811

Other practice location 1

7171 N Dale Mabry Hwy
Tampa, FL 33614-2630
Phone (352) 867-8898 ext. 2634

Other identifiers 3

IdentifierTypeStateIssuer
29047OtherFLBLUE CROSS BLUE SHIELD
P00053082OtherDCRAILROAD MEDICARE
264322700MedicaidFL

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
I20150114000820 TX Practitioner - Anesthesiology 8729159017 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Florida College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Practice addresses (Care Compare)

6200 W Parker Rd
Plano, TX 75093-7939
Phone (972) 608-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frio Hospital Association CurrentSince Oct 27, 2014 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince Jul 18, 2018 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Frio Hospital Association CurrentSince Oct 27, 2014 Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P.a. Anesthesiology CurrentSince May 15, 2024 Accepting new patients
North Pinellas Anesthesia Associates, PA Anesthesiology PastSince May 7, 2023 Accepting new patients
Baycare Anesthesia Associates LLC Anesthesiology Past Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P .a. PastSince May 7, 2024 Accepting new patients
Anesthesia and Pain Physicians of Florida, PA Past Accepting new patients

Locations

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1902 Moores Ln
Ste B
Texarkana, TX 75503
Phone (903) 792-2108

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1316030380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7909",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756077909",
            "telephone_number": "817-516-8811",
            "fax_number": "817-516-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SL57 LAKE CHEROKEE",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "75652",
            "telephone_number": "817-516-8811",
            "fax_number": "817-516-8444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7171 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336142630",
            "country_code": "US",
            "telephone_number": "352-867-8898 x2634",
            "fax_number": "352-732-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODENHUIS",
        "first_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "J9308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29047",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00053082",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264322700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, TX

Sources for this page

Verify at the official NPI Registry.