Active NPI
Rodney Wayne Sosa, MD
- Internal Medicine Physician
- Southlake, TX
National Provider Identifier
1720041916
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.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K4803
- 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
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 |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Plano, TX
- NPI 1417927880
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1902093602
-
- Internal Medicine Physician
- Susanville, CA
- NPI 1407987522
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.