Individual provider Active NPI

Joel Abelardo Rodriguez, M.D.

  • Surgery Physician
  • San Antonio, TX
National Provider Identifier
1730487794
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N6622 Issued in TX
Practice address
3103 SE Military Dr
Suite 105
San Antonio, TX 78223-3801
Phone
(210) 359-0051
Fax
(888) 290-1413
NPI assigned
Mar 1, 2011
Last updated
Aug 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2011-00227 NC
Surgery Physician 208600000X N6622 TX Primary

Addresses

Primary practice location

3103 SE Military Dr
Suite 105
San Antonio, TX 78223-3801

Mailing address

3103 SE Military Dr
Suite 105
San Antonio, TX 78223-3801
Phone (210) 359-0051

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
I20150105000428 TX Practitioner - General Surgery 3375711849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Baylor College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joel a Rodriguez MD PLLCGroup PAC ID 2668795311, 2 clinicians

Practice addresses (Care Compare)

1200 Brooklyn Ave
Suite 230
San Antonio, TX 78212-0010
Phone (210) 359-0051

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)30
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011-00227NCMDSurgery Physician
N6622TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joel a Rodriguez MD PLLC Surgery CurrentSince May 25, 2012 Accepting new patients

Locations

1200 Brooklyn Ave
Ste 230
San Antonio, TX 78212
Phone (210) 226-3326

3103 SE Military Dr
Ste 105
San Antonio, TX 78223
Phone (210) 226-5350

3701 Roy Richard Dr
Schertz, TX 78154
Phone (210) 359-0051

Interoperability endpoints

  • Direct secure messaging: texasadvancedsurgical.joel.rodriguez@154157.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1730487794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 SE MILITARY DR",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233801",
            "telephone_number": "210-359-0051",
            "fax_number": "888-290-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 SE MILITARY DR",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233801",
            "telephone_number": "210-359-0051",
            "fax_number": "888-290-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JOEL",
        "middle_name": "ABELARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-01",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2011-00227",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N6622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.