NPIMap

Individual provider Active NPI

Roberto H Rodriguez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Boerne, TX
National Provider Identifier
1336348747
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1826 Issued in TX
Practice address
28580 Interstate 10 W Unit 3
Boerne, TX 78006-9106
Phone
(830) 981-5150
Fax
(830) 981-5159
NPI assigned
Jul 16, 2007
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1826 TX Primary

Addresses

Primary practice location

28580 Interstate 10 W Unit 3
Boerne, TX 78006-9106

Mailing address

28580 Interstate 10 W Unit 3
Boerne, TX 78006-9106
Phone (830) 981-5150

Other identifiers 1

IdentifierTypeStateIssuer
187876103MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071001000213 TX Practitioner - Podiatry 0143315549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

28580 Ih 10
Suite 3
Boerne, TX 78006-9105
Phone (830) 981-5150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue54
Removal of skin lesions1-10
Removal of nail tissue661
Removal or shaving of skin growth281
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1826TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eddie Davis, DPM, PLLC Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Eddie Davis, DPM, PLLC Podiatrist CurrentSince Dec 1, 2025 Accepting new patients
The Podiatry Group of South Texas, PA Podiatrist PastSince Jun 4, 2023 Accepting new patients
Donald E Robinson DPM PC Single Specialty PastSince Sep 1, 2015 Accepting new patients
The Podiatry Group of South Texas, PA Past Accepting new patients

Locations

28580 Interstate 10 W
Unit 3
Fair Oaks Ranch, TX 78006
Phone (830) 981-5150

109 Gallery Cir
Ste 119
San Antonio, TX 78258
Phone (210) 490-3668

7424 Broadway
San Antonio, TX 78209
Phone (210) 829-8770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10915/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 4

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1336348747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28580 INTERSTATE 10 W UNIT 3",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069106",
            "telephone_number": "830-981-5150",
            "fax_number": "830-981-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28580 INTERSTATE 10 W UNIT 3",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069106",
            "telephone_number": "830-981-5150",
            "fax_number": "830-981-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ROBERTO",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187876103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.