Individual provider Active NPI

Odiel Rodriguez, PA-C

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1669706230
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06378 Issued in TX
Practice address
801 E Nolana Ave Ste 13a
McAllen, TX 78504-6117
Phone
(956) 686-2700
Fax
(956) 686-2708
NPI assigned
Sep 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA06378 TX Primary

Addresses

Primary practice location

801 E Nolana Ave Ste 13a
McAllen, TX 78504-6117

Mailing address

909 S Airport Dr
Weslaco, TX 78596-6651
Phone (956) 968-0560

Other identifiers 1

IdentifierTypeStateIssuer
PA06378OtherTXMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Odiel.Rodriguez@ashleypediatrics.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000160 TX Practitioner - Physician Assistant 2567621311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA06378TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sarojini Bose, MD, PA Current Accepting new patients
Dr Bose Industrial & Family Medicine PLLC PastSince May 1, 2014 Accepting new patients
Dr Bose & Associates PLLC Past Accepting new patients

Locations

801 E Nolana Ave
Ste 13A
McAllen, TX 78504
Phone (956) 686-2700

Interoperability endpoints

  • Direct secure messaging: odiel.rodriguez@ashleypediatrics.com
  • Direct secure messaging: odiel.rodriguez@ashleypediatrics.opdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1669706230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S AIRPORT DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966651",
            "telephone_number": "956-968-0560",
            "fax_number": "956-969-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE STE 13A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046117",
            "telephone_number": "956-686-2700",
            "fax_number": "956-686-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ODIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA06378",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Odiel.Rodriguez@ashleypediatrics.com",
            "affiliation": "N",
            "endpointDescription": "Odiel.Rodriguez@ashleypediatrics.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "801 E Nolana Ave Ste 13A",
            "city": "McAllen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785046117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.