Active NPI
Randall D Rogers, M.D.
- Colon & Rectal Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- E8863
- Practice address
- 1303 McCullough Ave
Suite 265
San Antonio, TX 78212-5609 - Phone
- (210) 224-0402
- Fax
- (210) 593-5992
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | E8863 | TX | Primary |
Addresses
Primary practice location
1303 McCullough Ave
Suite 265
San Antonio, TX 78212-5609
Mailing address
1303 McCullough Ave
Suite 265
San Antonio, TX 78212-5609
Phone (210) 224-0402
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036259201 | Medicaid | TX | |
| 036259202 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- University of Texas Medical School at San Antonio, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1303 McCullough Ave
Suite 265
San Antonio, TX 78212-5604
Phone (210) 593-5700
4383 Medical Dr
San Antonio, TX 78229-3307
Phone (210) 593-5700
Hospital & facility affiliations
- Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.7 of 100
- Quality
- 62.04
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 84.41
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 221 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Oncology and Hematology, PLLC | Current | Accepting new patients | |
| South Texas Oncology and Hematology, PLLC | Current | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
5715 Rogers Rd
San Antonio, TX 78251
1303 McCullough Ave
San Antonio, TX 78212
Phone (210) 220-3737
1303 McCullough Ave
Ste 265
San Antonio, TX 78212
Phone (210) 224-0402
4383 Medical Dr
San Antonio, TX 78229
Phone (210) 593-2584
540 Madison Oak Dr
Ste 320
San Antonio, TX 78258
Phone (210) 403-9500
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.
-
- Hematology & Oncology Physician
- San Antonio, TX
- NPI 1770664542
-
- Community/Retail Pharmacy
- San Antonio, TX
- NPI 1730422098
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1679659791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE",
"address_2": "SUITE 265",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125609",
"telephone_number": "210-224-0402",
"fax_number": "210-593-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 MCCULLOUGH AVE",
"address_2": "SUITE 265",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125609",
"telephone_number": "210-224-0402",
"fax_number": "210-593-5992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "RANDALL",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "TX",
"license": "E8863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036259201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036259202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.