NPIMap

Individual provider Active NPI

Mario A Rodriguez, M.D.

  • Family Medicine Physician
  • Rio Grande City, TX
National Provider Identifier
1528086006
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K3639 Issued in TX
Practice address
201 N FM 3167 Ste 109
Rio Grande City, TX 78582-6725
Phone
(956) 263-1671
Fax
(956) 263-1674
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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 K3639 TX Primary

Addresses

Primary practice location

201 N FM 3167 Ste 109
Rio Grande City, TX 78582-6725

Mailing address

201 N FM 3167 Ste 109
Rio Grande City, TX 78582-6725
Phone (956) 263-1671

Other identifiers 1

IdentifierTypeStateIssuer
126933404MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000246 TX Practitioner - Family Practice 0547210510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 N FM
3167 Suite 109
Rio Grande City, TX 78582-6776
Phone (956) 263-1671

Hospital & facility affiliations

  • Salud Health Care Services Inc Home health agency, Rio Grande City, TX, CCN 747643
  • Una Bendicion Home Health LLC Home health agency, Rio Grande City, TX, CCN 747942
  • With Open Arms Healthcare LLC Home health agency, McAllen, TX, CCN 677981
  • Prestige Home Care Services LLC Home health agency, Rio Grande City, TX, CCN 747837
  • A Healing Touch Hospice Hospice, Weslaco, TX, CCN 741730
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Starr County Memorial Hospital Hospital, Rio Grande City, TX, CCN 450654

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3639TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mario a Rodriguez MD PA Family Medicine CurrentSince Nov 24, 2004 Accepting new patients
Boone Emergency Physicians PLLC Past Accepting new patients
Starr County Hospital District Past Accepting new patients

Locations

201 N FM 3167
Ste 109
Rio Grande City, TX 78582
Phone (956) 263-1671

101 N FM 3167
Ste 109
Rio Grande Cy, TX 78582
Phone (956) 225-9799

Interoperability endpoints

  • Direct secure messaging: mario.rodriguez@rmc21.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
A Healing Touch HospiceWeslaco, TX, CCN 741730 Hospice Corporate Director (10%) Feb 23, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 10

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1528086006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N FM 3167 STE 109",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826725",
            "telephone_number": "956-263-1671",
            "fax_number": "956-263-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N FM 3167 STE 109",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826725",
            "telephone_number": "956-263-1671",
            "fax_number": "956-263-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126933404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.