Individual provider Active NPI

Rodolfo Jose Oviedo, MD, FACS, FASMBS

  • Surgery Physician
  • Nacogdoches, TX
National Provider Identifier
1376795955
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q8318 Issued in TX
Practice address
4848 NE Stallings Dr Ste 201
Nacogdoches, TX 75965-1266
Phone
(936) 221-5560
Fax
(936) 221-5710
NPI assigned
Oct 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 Q8318 TX Primary

Addresses

Primary practice location

4848 NE Stallings Dr Ste 201
Nacogdoches, TX 75965-1266

Mailing address

4848 NE Stallings Dr Ste 201
Nacogdoches, TX 75965-1266
Phone (936) 221-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180807003685 VA Practitioner - General Practice 7618115908 Reassigns benefits to 2 organizations
I20200527000466 TX Practitioner - General Surgery 7618115908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

4848 NE Stallings Dr
Suite 202
Nacogdoches, TX 75965-1266
Phone (936) 585-6125

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Henderson, TX, CCN 458072
  • Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656
  • Nacogdoches Memorial Hospital Hospital, Nacogdoches, TX, CCN 450508

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy41
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q8318TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Enterprise, Inc Surgery Current Accepting new patients
Winchester Medical Center Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Aug 6, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 1, 2023 Accepting new patients
TMH Physician Associates PLLC CurrentSince Nov 2, 2020 Accepting new patients
Winchester Medical Center Current Accepting new patients
TMH Physician Associates PLLC CurrentSince Nov 2, 2020 Accepting new patients
Winchester Medical Center CurrentSince Aug 6, 2018 Accepting new patients
Winchester Medical Center CurrentSince Aug 6, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 1, 2023 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Aug 6, 2018 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Capital Regional Healthcare LLC PastSince Nov 17, 2009 Accepting new patients
TH Healthcare, LTD Past Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6550 Fannin St
Ste 1501
Houston, TX 77030
Phone (713) 441-5141

4848 NE Stallings Dr
Ste 102
Nacogdoches, TX 75965
Phone (903) 597-3472

4848 NE Stallings Dr
Ste 201
Nacogdoches, TX 75965
Phone (936) 221-5560

4848 NE Stallings Dr
Ste 202
Nacogdoches, TX 75965
Phone (936) 221-5773

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

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1870 Amherst St
Ste F
Winchester, VA 22601
Phone (540) 536-0010

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

Interoperability endpoints

  • Direct secure messaging: rodolfo.oviedo.1@1438.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1376795955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DR STE 201",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651266",
            "telephone_number": "936-221-5560",
            "fax_number": "936-221-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 NE STALLINGS DR STE 201",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651266",
            "telephone_number": "936-221-5560",
            "fax_number": "936-221-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVIEDO",
        "first_name": "RODOLFO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD, FACS, FASMBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q8318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.