Active NPI
Enrique Javier Rodriguez Jr.
- Medical Physician Assistant
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA14770
- Practice address
- 21 Spurs Lane Suite 240
San Antonio, TX 78240 - Phone
- (210) 690-0777
- NPI assigned
- Oct 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA14770 | TX | Primary |
Addresses
Primary practice location
21 Spurs Lane Suite 240
San Antonio, TX 78240
Mailing address
21 Spurs LN Ste 240
San Antonio, TX 78240-1671
Phone (210) 690-0777
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Spurs Lane
Suite 240
San Antonio, TX 78240-1671
21 Spurs LN
San Antonio, TX 78240-1671
Phone (210) 690-0777
255 E Sonterra Blvd
Suite 203
San Antonio, TX 78258-4076
Phone (210) 690-0777
Hospital & facility affiliations
- Jonsan Home Health Inc.
- Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86 of 100
- Quality
- 86.59
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 69.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MJF Rehabilitation PA | Past | Accepting new patients |
Interoperability endpoints
- enrique.rodriguez.1@9126.direct.athenahealth.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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Antonio, TX
- NPI 1356529598
-
- Physical Medicine & Rehabilitation Physician
- Kerrville, TX
- NPI 1093778805
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Schertz, TX
- NPI 1730575531
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1487326997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SPURS LN STE 240",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401671",
"telephone_number": "210-690-0777",
"fax_number": "210-696-6376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SPURS LANE SUITE 240",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78240",
"telephone_number": "210-690-0777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ENRIQUE",
"middle_name": "JAVIER",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-03",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA14770",
"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 12, 2022; 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.