Individual provider Active NPI

Roderick Villaroman Vergel de Dios, M.D.

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1528072014
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K 1713 Issued in TX
Practice address
5105 N McColl Rd
McAllen, TX 78504-2331
Phone
(956) 686-6644
Fax
(956) 467-1010
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K 1713 TX Primary

Addresses

Primary practice location

5105 N McColl Rd
McAllen, TX 78504-2331

Mailing address

5105 N McColl Rd
McAllen, TX 78504-2331
Phone (956) 686-6644

Other identifiers 10

IdentifierTypeStateIssuer
EPSD49990MedicaidTX
126632205OtherTXMEDICAID EPSDT PROV. NUMB
MIXEDOtherTXCOMMERCIAL INS. PROV NO.
126632202MedicaidTX
5805616OtherTXAETA PIN
A002OtherTXTRICARE PIN
A001OtherTXCHAMPUS
116761OtherTXSUPERIOR HEALTH PIN
0021DFOtherTXBLUE CROSS PROVIDER NUMBE
080145415OtherTXMEDICARE RAILROAD PIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000698 TX Practitioner - Family Practice 1254390776 Practice locations: McAllen, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5105 N McColl Rd
McAllen, TX 78504-2331
Phone (956) 686-6644

Hospital & facility affiliations

  • DHC Divine Health Care LLC Home health agency, McAllen, TX, CCN 747735
  • HHN Healthcare, LLC. Home health agency, Palmview, TX, CCN 679476
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K 1713TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roderick V. Vergel de Dios, M.D., P.a. Family Medicine Past Accepting new patients
Cie Screening LLC Past Accepting new patients

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.

Hospital & facility affiliations 8

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1528072014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042331",
            "telephone_number": "956-686-6644",
            "fax_number": "956-467-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042331",
            "telephone_number": "956-686-6644",
            "fax_number": "956-467-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGEL DE DIOS",
        "first_name": "RODERICK",
        "middle_name": "VILLAROMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K 1713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EPSD49990",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID EPSDT PROV. NUMB",
            "identifier": "126632205",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INS. PROV NO.",
            "identifier": "MIXED",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126632202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETA PIN",
            "identifier": "5805616",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PIN",
            "identifier": "A002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PIN",
            "identifier": "116761",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "0021DF",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "080145415",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.