Individual provider Active NPI

Gabriel A Rodriguez, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Ashland, KY
National Provider Identifier
1730101940
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
39824 Issued in KY
Practice address
1000 Saint Christopher Dr
Pathology Dept
Ashland, KY 41101-7034
Phone
(606) 833-3634
Fax
(606) 836-9914
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 39824 KY Primary

Addresses

Primary practice location

1000 Saint Christopher Dr
Pathology Dept
Ashland, KY 41101-7034

Mailing address

PO Box 1629
Ashland, KY 41105-1629
Phone (502) 458-8653

Other identifiers 7

IdentifierTypeStateIssuer
608673400OtherUS DEPT OF LABOR
64113780MedicaidKY
P00283613OtherRAILROAD MEDICARE
000000388383OtherKYANTHEM BLUE CROSS BS
3810005530MedicaidWV
608673400OtherBLACK LUNG PROGRAM
50007952OtherKYPASSPORT MEDICAID

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
I20200727001049 TX Practitioner - Pathology 6608893904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at San Antonio, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Pathology, P.a.Group PAC ID 2668516469, 5 clinicians

Practice addresses (Care Compare)

1401 E 8TH St
Weslaco, TX 78596-6640
Phone (956) 968-8567

5501 S Expressway
Suite 77
Harlingen, TX 78550-3213
Phone (956) 365-1000

5501 S McColl Rd
Edinburg, TX 78539-9152

900 S Bryan Rd
Mission, TX 78572-6613
Phone (956) 323-9000

Hospital & facility affiliations

  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176
  • Knapp Medical Center Hospital, Weslaco, TX, CCN 450128
  • Harlingen Medical Center Hospital, Harlingen, TX, CCN 450855
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39824KYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Pathology PA Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2021 Accepting new patients

Locations

4750 N Expressway
#77
Brownsville, TX 78526
Phone (956) 362-1352

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Organizations & group practices 1

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 6

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1730101940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1629",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051629",
            "telephone_number": "502-458-8653",
            "fax_number": "502-456-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SAINT CHRISTOPHER DR",
            "address_2": "PATHOLOGY DEPT",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017034",
            "telephone_number": "606-833-3634",
            "fax_number": "606-836-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GABRIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "39824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "608673400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64113780",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00283613",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BS",
            "identifier": "000000388383",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005530",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROGRAM",
            "identifier": "608673400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT MEDICAID",
            "identifier": "50007952",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.