Individual provider Active NPI

Randall D Rogers, M.D.

  • Colon & Rectal Surgery Physician
  • San Antonio, TX
National Provider Identifier
1679659791
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
E8863 Issued in TX
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

Updated by the provider on Jun 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036259201MedicaidTX
036259202MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922001066 TX Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 7810938057 Reassigns benefits to 1 organization

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 Hospital, San Antonio, TX, CCN 450388

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
62.04
Promoting interoperability
90
Improvement activities
40
Cost
84.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy221

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Oncology and Hematology, PLLC CurrentSince May 1, 2012 Accepting new patients
South Texas Oncology and Hematology, PLLC CurrentSince May 1, 2012 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.