Rafael A Rodriguez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K1640 Issued in TX

Practice address

3228 Interstate 30 Ste 200
Mesquite, TX 75150-2633

Phone

(972) 216-5400

Fax

(972) 216-5405

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: rafael.rodriguez@wellmed.eclinicaldirectplus.com

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1801866249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 INTERSTATE 30 STE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502633",
            "telephone_number": "972-216-5400",
            "fax_number": "972-216-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 INTERSTATE 30 STE 200",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502633",
            "telephone_number": "972-216-5400",
            "fax_number": "972-216-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAFAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096435502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Robertson OD PC
• Alejandro Rodriguez
• Anakaren Rodriguez, RBT
• Edgar David Rodriguez
• Michelle Andrea Rodriguez
• Yitzel Graciel Rodriguez
• Rog Home Health Services, LLC
• Jarmel D Rogers
• Andrea Roldan, CPNP
• Richard Steven Rome, MD

• Internal Medicine Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.