Active NPI
Jose Raul Rodriguez, M.D.
- Geriatric Medicine (Family Medicine) Physician
- Spring, TX
National Provider Identifier
1376503078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- E0278
- Practice address
- 23 Terravale CT
Spring, TX 77381-3504 - Phone
- (956) 459-7027
- NPI assigned
- Mar 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E0278 | TX | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | E0278 | TX | Primary |
Addresses
Primary practice location
23 Terravale CT
Spring, TX 77381-3504
Mailing address
23 Terravale CT
Spring, TX 77381-3504
Phone (956) 459-7027
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00N027 | Other | TX | BLUE CROSS BLUE SHIELD OF TEXAS |
| 120451305 | Medicaid | TX | |
| 020045338 | Other | TX | MEDICARE RAILROAD |
Other names 1
- J. Raul Rodriguez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0278 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rordriguez & Rodriguez, PA | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Brownsville, TX
- NPI 1447427851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1376503078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 TERRAVALE CT",
"city": "SPRING",
"state": "TX",
"postal_code": "773813504",
"telephone_number": "956-459-7027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 TERRAVALE CT",
"city": "SPRING",
"state": "TX",
"postal_code": "773813504",
"telephone_number": "956-459-7027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JOSE RAUL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2021-01-26",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "E0278",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "TX",
"license": "E0278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
"identifier": "00N027",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120451305",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "020045338",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "J. RAUL",
"last_name": "RODRIGUEZ",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.