Individual provider Active NPI

Abelardo Rodriguez, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1366586190
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D8411 Issued in TX
Practice address
8527 Village Dr
Suite 200
San Antonio, TX 78217-5513
Phone
(210) 653-2693
Fax
(210) 590-6075
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D8411 TX Primary

Addresses

Primary practice location

8527 Village Dr
Suite 200
San Antonio, TX 78217-5513

Mailing address

8527 Village Dr
Suite 200
San Antonio, TX 78217-5513
Phone (210) 653-2693

Other identifiers 1

IdentifierTypeStateIssuer
092704801MedicaidTX

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
I20100521000881 TX Practitioner - Family Practice 8729117288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

2130 NE Loop
Suite 410
San Antonio, TX 78217-4659
Phone (210) 653-2693

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

7719 S Ih
San Antonio, TX 78224-1469

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Mar 31, 2010 Accepting new patients
BHS Physicians Network, Inc Family Medicine CurrentSince Mar 31, 2010 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Wellmed Medical Group, PA Family Medicine Past Accepting new patients

Locations

8527 Village Dr
Ste 200
San Antonio, TX 78217
Phone (210) 653-2693

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

2130 NE Loop 410
Ste 325
San Antonio, TX 78217
Phone (210) 653-2693

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: abelardo.rodriguez.1@1438.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366586190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8527 VILLAGE DR",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175513",
            "telephone_number": "210-653-2693",
            "fax_number": "210-590-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8527 VILLAGE DR",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175513",
            "telephone_number": "210-653-2693",
            "fax_number": "210-590-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ABELARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D8411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092704801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.