Individual provider Active NPI

Diego Felipe Rodriguez, M.D.

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1548605751
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R1283 Issued in TX
Practice address
4330 Vance Jackson Rd
San Antonio, TX 78230-5321
Phone
(210) 579-3800
NPI assigned
May 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R1283 TX Primary

Addresses

Primary practice location

4330 Vance Jackson Rd
San Antonio, TX 78230-5321

Mailing address

7703 Floyd Curl Dr
San Antonio, TX 78229-3901

Other practice location 1

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 567-5742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200625000643 FL Practitioner - Psychiatry 6507115326 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Behavioral Health Associates, LLCGroup PAC ID 2567624836, 97 clinicians

Practice addresses (Care Compare)

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (727) 532-1355

4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (727) 532-1355

Hospital & facility affiliations

  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1283TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Winter Haven Hospital Inc CurrentSince Nov 1, 2020 Accepting new patients
Behavioral Health Management Services Inc CurrentSince Nov 1, 2020 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Nov 1, 2020 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry Current Accepting new patients
Hni Medical Services of Florida, LLC Psychiatry CurrentSince Mar 17, 2020 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Nov 1, 2020 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Winter Haven Hospital Inc CurrentSince Nov 1, 2020 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Nov 1, 2020 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

9241 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 985-2700

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

4918 N Habana Ave
Tampa, FL 33614
Phone (727) 710-0900

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000

Interoperability endpoints

  • Direct secure messaging: diego.rodriguezmd@direct.mybaycare.org

Organizations & group practices 11

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 2

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1548605751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 VANCE JACKSON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305321",
            "telephone_number": "210-579-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4502 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294402",
            "country_code": "US",
            "telephone_number": "210-567-5742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DIEGO",
        "middle_name": "FELIPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-01",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "R1283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.