Individual provider Active NPI

Orlando Rodriguez, M.D

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1366829202
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q9239 Issued in TX
Practice address
1248 Austin Hwy Ste 214
San Antonio, TX 78209
Phone
(210) 828-2531
Fax
(210) 828-2532
NPI assigned
Apr 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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 Q9239 TX Primary

Addresses

Primary practice location

1248 Austin Hwy Ste 214
San Antonio, TX 78209

Mailing address

2961 Mossrock
San Antonio, TX 78230-5119
Phone (210) 731-4800

Other practice location 1

911 Castroville Rd
San Antonio, TX 78237-3146
Phone (210) 436-7402

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
I20160803001309 TX Practitioner - Family Practice 0244524957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Primecare, IncGroup PAC ID 8628073236, 70 clinicians

Practice addresses (Care Compare)

911 Castroville Rd
San Antonio, TX 78237-3146
Phone (210) 436-7402

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q9239TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Primecare, Inc Family Medicine CurrentSince Aug 15, 2016 Accepting new patients
Llano Regional Hospital Family Medicine Past Accepting new patients

Locations

911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402

2911 S New Braunfels Ave
San Antonio, TX 78210
Phone (210) 377-1133

1248 Austin Hwy
Ste 214
San Antonio, TX 78209
Phone (210) 828-2531

2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800

Interoperability endpoints

  • Direct secure messaging: orlando.rodriguez@htmg.eclinicaldirectplus.com

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1366829202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 MOSSROCK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305119",
            "telephone_number": "210-731-4800",
            "fax_number": "210-731-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 AUSTIN HWY STE 214",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78209",
            "telephone_number": "210-828-2531",
            "fax_number": "210-828-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Castroville Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782373146",
            "country_code": "US",
            "telephone_number": "210-436-7402",
            "fax_number": "210-436-7398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ORLANDO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q9239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.