Active NPI
Angel A Rodriguez, M.D.
- Medical Oncology Physician
- Austin, TX
National Provider Identifier
1487818811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- L9874
- Practice address
- 900 W 38TH St Ste 110
Austin, TX 78705-1128 - Phone
- (512) 505-5500
- Fax
- (512) 334-2702
- NPI assigned
- Jul 15, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L9874 | TX | |
| Hematology (Internal Medicine) Physician | 207RH0000X | L9874 | TX | |
| Medical Oncology Physician | 207RX0202X | L9874 | TX | Primary |
Addresses
Primary practice location
900 W 38TH St Ste 110
Austin, TX 78705-1128
Mailing address
9715 Burnet Rd Ste 200
Austin, TX 78758-5390
Phone (512) 505-5500
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194797010 | Medicaid | TX | |
| 1487818811 | Other | TX | BLUE CROSS BLUE SHIELD |
| 194797005 | Medicaid | TX | |
| 8EE777 | Other | TX | BLUE CROSS BLUE SHIELD |
| 194797006 | Medicaid | TX | |
| 194797009 | Medicaid | TX | |
| 8CS218 | Other | TX | BLUE CROSS BLUE SHIELD |
| 194797008 | Medicaid | TX | |
| 194797007 | Medicaid | TX |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1487818811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9715 BURNET RD STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585390",
"telephone_number": "512-505-5500",
"fax_number": "512-334-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W 38TH ST STE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051128",
"telephone_number": "512-505-5500",
"fax_number": "512-334-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "ANGEL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L9874",
"primary": false
},
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "TX",
"license": "L9874",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "L9874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194797010",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1487818811",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194797005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8EE777",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194797006",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194797009",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8CS218",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194797008",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194797007",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.