Active NPI
David Anthony Rodriguez Jr., M.D.
- Psychiatry Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- Q4504
- Practice address
- 5210 Thousand Oaks Dr
San Antonio, TX 78233-6974 - Phone
- (210) 261-4416
- Fax
- (210) 261-1833
- NPI assigned
- Jun 16, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | Q4504 | TX | |
| Psychiatry Physician | 2084P0800X | Q4504 | TX | Primary |
Addresses
Primary practice location
5210 Thousand Oaks Dr
San Antonio, TX 78233-6974
Mailing address
6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (210) 261-1060
Other practice location 1
8535 Tom Slick
San Antonio, TX 78229-3367
Phone (210) 582-6440
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Texas Medical School at San Antonio, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
13601 Marigold Rd
Plainfield, IL 60544-1929
6526 Charles FLD
San Antonio, TX 78238-3022
6800 Park Ten Blvd
San Antonio, TX 78213-4293
8431 Fredericksburg Rd
FL 5
San Antonio, TX 78229-3392
8535 Tom Slick
San Antonio, TX 78229-3367
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q4504 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Progressive Behavioral Health, PLLC | Psychiatry | Current | Accepting new patients |
Locations
3000 Polar Ln
Ste 101
Cedar Park, TX 78613
Phone (512) 201-4006
12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078
1425 Greenway Dr
Ste 360
Irving, TX 75038
Phone (317) 362-3417
23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500
7810 Louis Pasteur Dr
Fl 1
San Antonio, TX 78229
Phone (210) 450-7222
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
8535 Tom Slick
San Antonio, TX 78229
Phone (210) 582-6440
430 W Sunset Rd
Ste 400
San Antonio, TX 78209
Phone (210) 858-9078
4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400
431 E State Highway 114
Ste 140
Southlake, TX 76092
Phone (817) 751-7802
Interoperability endpoints
- drodriguez35120@direct.utmsa.com
- lifestancehealth.davidrodriguez@136732.advancedmd-direct.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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
Psychiatry
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1417921834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1407177124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 PARK TEN BLVD STE 200S",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134293",
"telephone_number": "210-261-1060",
"fax_number": "210-261-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5210 THOUSAND OAKS DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782336974",
"telephone_number": "210-261-4416",
"fax_number": "210-261-1833"
}
],
"practiceLocations": [
{
"address_1": "8535 Tom Slick",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293367",
"country_code": "US",
"telephone_number": "210-582-6440",
"fax_number": "210-692-9021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "DAVID",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-16",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "Q4504",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "Q4504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.