Organization Active NPI

Rodriguez Clinical Trials LLC

Doing business as Rodriguez Medical Clinic at Bellaire

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1669988481
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RODRIGUEZ CLINICAL TRIALS LLC
Doing business as
Rodriguez Medical Clinic at Bellaire
Practice address
15825 Bellaire Blvd Ste D
Houston, TX 77083-2347
Phone
(832) 328-1911
Fax
(832) 328-1912
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Dr. Julio C Rodriguez, MDNPI 1316352735
Title
Owner
Phone
(281) 414-0930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

15825 Bellaire Blvd Ste D
Houston, TX 77083-2347

Mailing address

18811 Dove Creek Springs TRL
Cypress, TX 77433-3440

Other names 1

  • Rodriguez Medical Clinic at Bellaire Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180207000059 TX Part B Supplier - Clinic/Group Practice 6507126810 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2147434Rodriguez Clinical Trials, LLC15825 Bellaire Blvd, Houston, TX 77083Certificate of waiverApr 18, 2028

National Provider Directory

National Provider Directory

Locations

15825 Bellaire Blvd
Ste H
Houston, TX 77083
Phone (832) 328-1911

15825 Bellaire Blvd
Houston, TX 77083
Phone (832) 238-1911

13219 Dotson Rd
Ste 100
Houston, TX 77070
Phone (281) 674-7812

5825 Bellaire Blvd
Ste D
Houston, TX 77081

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1669988481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18811 DOVE CREEK SPRINGS TRL",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 BELLAIRE BLVD STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770832347",
            "telephone_number": "832-328-1911",
            "fax_number": "832-328-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODRIGUEZ CLINICAL TRIALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-414-0930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rodriguez Medical Clinic at Bellaire",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rodriguez Medical Clinic at Bellaire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.