Individual provider Active NPI

Luis Fernando Rodriguez

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1760030712
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6801 Oakmont Blvd Ste 102
Fort Worth, TX 76132-3903
Phone
(866) 367-8768
NPI assigned
Sep 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

6801 Oakmont Blvd Ste 102
Fort Worth, TX 76132-3903

Mailing address

5001 S Cooper St Ste 201
Arlington, TX 76017-5993
Phone (866) 367-8768

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221206000764 TX Practitioner - Physician Assistant 8527497452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Partners of North Texas, PLLCGroup PAC ID 7315283454, 91 clinicians

Practice addresses (Care Compare)

10900 Founders Way
Suite 205
Fort Worth, TX 76244-5437
Phone (866) 367-8768

1701 Fountainview Dr
Suite 120
Mansfield, TX 76063-5091
Phone (866) 367-8768

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-6200

5001 S Cooper St
Suite 201
Arlington, TX 76017-5993

5005 S Cooper St
Suite 250
Arlington, TX 76017-5996
Phone (866) 367-8768

6801 Oakmont Blvd
Suite 102
Fort Worth, TX 76132-3903
Phone (866) 367-8768

945 Hilltop Dr
Suite 100
Weatherford, TX 76086-5892
Phone (866) 367-8768

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Comanche County Medical Center Hospital, Comanche, TX, CCN 451382

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
91.85
Promoting interoperability
77
Improvement activities
40
Cost
74.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Partners of North Texas, PLLC PastSince Dec 28, 2022 Accepting new patients

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.

Hospital & facility affiliations 3

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1760030712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 S COOPER ST STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175993",
            "telephone_number": "866-367-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 OAKMONT BLVD STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323903",
            "telephone_number": "866-367-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LUIS",
        "middle_name": "FERNANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.