Individual provider Active NPI

Richard Aaron Rodriguez, MD

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1316903404
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F1946 Issued in TX
Practice address
102 Palo Alto Rd
Suite 450
San Antonio, TX 78211-3772
Phone
(210) 922-0555
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F1946 TX
Ophthalmology Physician 207W00000X F1946 TX Primary

Addresses

Primary practice location

102 Palo Alto Rd
Suite 450
San Antonio, TX 78211-3772

Mailing address

102 Palo Alto Rd Ste 450
San Antonio, TX 78211-3782
Phone (210) 922-0555

Other identifiers 1

IdentifierTypeStateIssuer
082620801MedicaidTX

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
I20130314000091 TX Practitioner - Ophthalmology 8123054764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at San Antonio, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharron Acosta MD PAGroup PAC ID 7517924335, 10 clinicians

Practice addresses (Care Compare)

102 Palo Alto Rd
Suite 450
San Antonio, TX 78211-3782
Phone (210) 922-0555

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Phone (830) 339-2843

15650 Classen Rd
San Antonio, TX 78247-2184
Phone (210) 342-2020

908 E Court St
Seguin, TX 78155-5813
Phone (830) 379-3937

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1946TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Ambulatory Surgery Center, LLC Past Accepting new patients

Organizations & group practices 2

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1316903404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD STE 450",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113782",
            "telephone_number": "210-922-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD",
            "address_2": "SUITE 450",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113772",
            "telephone_number": "210-922-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RICHARD",
        "middle_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F1946",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F1946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082620801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.