Individual provider Active NPI

Alvaro E Rolong, MD

  • Surgery Physician
  • Beeville, TX
National Provider Identifier
1346227121
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G6605 Issued in TX
Practice address
1211 E Houston St Ste C
Beeville, TX 78102-5207
Phone
(361) 350-8151
Fax
(361) 350-8151
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G6605 TX Primary

Addresses

Primary practice location

1211 E Houston St Ste C
Beeville, TX 78102-5207

Mailing address

PO Box 5605
Corpus Christi, TX 78405-5605
Phone (361) 884-1381

Other identifiers 1

IdentifierTypeStateIssuer
033378301MedicaidTX

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
I20080424000152 TX Practitioner - General Surgery 0749368231 Reassigns benefits to 1 organization
Practice locations: Beeville, TX

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G6605TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jul 23, 2024 Accepting new patients
Hendrick Provider Network Surgery CurrentSince Jul 23, 2024 Accepting new patients
Dr. Alvaro E Rolong MD, PLLC Surgery CurrentSince Apr 9, 2023 Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1211 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 350-8151

125 S Park Dr
Ste A
Brownwood, TX 76801
Phone (325) 641-1648

Organizations & group practices 3

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1346227121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5605",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784055605",
            "telephone_number": "361-884-1381",
            "fax_number": "361-883-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E HOUSTON ST STE C",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025207",
            "telephone_number": "361-350-8151",
            "fax_number": "361-350-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLONG",
        "first_name": "ALVARO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G6605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033378301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

Verify at the official NPI Registry.