Individual provider Active NPI

Rodney Wayne Sosa, MD

  • Internal Medicine Physician
  • Southlake, TX
National Provider Identifier
1720041916
Registry record updated Sep 18, 2022
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Nov 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K4803 Issued in TX
Practice address
2009 Woodbury CT
Southlake, TX 76092-8303
Phone
(972) 352-0920
NPI assigned
Apr 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K4803 TX Primary

Addresses

Primary practice location

2009 Woodbury CT
Southlake, TX 76092-8303

Mailing address

2009 Woodbury CT
Southlake, TX 76092-8303
Phone (972) 352-0920

Other practice location 1

6009 W Parker Rd
Suite 149-310
Plano, TX 75093-8120
Phone (972) 293-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Hospital Physicians Group Internal Medicine Past Accepting new patients
Physicain Geriatric Services PA Internal Medicine Past Accepting new patients
S Pannu Inc Internal Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1720041916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 WOODBURY CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928303",
            "telephone_number": "972-352-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 WOODBURY CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928303",
            "telephone_number": "972-352-0920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6009 W Parker Rd",
            "address_2": "Suite 149-310",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938120",
            "country_code": "US",
            "telephone_number": "972-293-5555",
            "fax_number": "972-293-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSA",
        "first_name": "RODNEY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-09",
        "last_updated": "2022-09-18",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.