Active NPI
Stephanie Lynn Rodriguez Pena, MD
- Family Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- U8580
- Practice address
- 448 Castroville Rd
San Antonio, TX 78207-5147 - Phone
- (210) 434-1400
- Fax
- (210) 431-7472
- NPI assigned
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10076331 | TX | |
| Family Medicine Physician | 207Q00000X | U8580 | TX | Primary |
Addresses
Primary practice location
448 Castroville Rd
San Antonio, TX 78207-5147
Mailing address
448 Castroville Rd
San Antonio, TX 78207-5147
Phone (210) 434-1400
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
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
448 Castroville Rd
San Antonio, TX 78207-5147
Phone (210) 434-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U8580 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, PA | Family Medicine | Current | Accepting new patients |
Locations
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400
Interoperability endpoints
- stephanie.rodriguezpena@wellmed.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
Family Medicine
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1710565130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 CASTROVILLE RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782075147",
"telephone_number": "210-434-1400",
"fax_number": "210-431-7472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 CASTROVILLE RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782075147",
"telephone_number": "210-434-1400",
"fax_number": "210-431-7472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ PENA",
"first_name": "STEPHANIE",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10076331",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U8580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Daniel Rodriguez Fernandez, PT, DPT
- Juan Jose Rodriguez Lopez, MD
- Armando Rodriguez Martinez, FNP-C
- Marisol Rodriguez Mendez, MD
- Maria Victoria Rodriguez Munoz, M.D.
- Virgen Milagros Rodriguez Perez, M.D.
- Lizette Rodriguez Rivas
- Johanna Rodriguez-Becho, LMFT
- Aimee Cathleen Rodriguez-Chapa, COTA
- Emma Rodriguez-Lowery, LVN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.