Individual provider Active NPI

Steven Cyrus Rodriguez, DO

  • Pediatrics Physician
  • Uvalde, TX
National Provider Identifier
1811577489
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V1875 Issued in TX
Practice address
200 Evans St
Uvalde, TX 78801-5142
Phone
(830) 278-7105
Fax
(830) 278-1941
NPI assigned
Apr 8, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

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
I20240812001459 TX Practitioner - Pediatric Medicine 4981002714 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Development, Inc. CurrentSince Jun 4, 2024 Accepting new patients
Community Health Development Inc. Current Accepting new patients
Community Health Development, Inc. CurrentSince Jun 4, 2024 Accepting new patients
Community Health Development Inc. PastSince Aug 18, 2024 Accepting new patients

Locations

200 Evans St
Uvalde, TX 78801
Phone (830) 278-7105

908 Evans St
Uvalde, TX 78801
Phone (830) 278-3765

601 Dean St
Uvalde, TX 78801
Phone (830) 278-7105

908 Evans St
Ste A
Uvalde, TX 78801
Phone 8302785604 ext. 3100

Interoperability endpoints

  • Direct secure messaging: steven.rodriguez.p2@direct.chdi.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X V1875 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

200 Evans St
Uvalde, TX 78801-5142

Mailing address

908 Evans St Ste a
Uvalde, TX 78801-6052
Phone (830) 278-5604

Other practice location 1

908 Evans St Ste A
Uvalde, TX 78801-6052
Phone (830) 278-5604 ext. 3100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2024.

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1811577489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 EVANS ST STE A",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788016052",
            "telephone_number": "830-278-5604",
            "fax_number": "830-278-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EVANS ST",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788015142",
            "telephone_number": "830-278-7105",
            "fax_number": "830-278-1941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 Evans St Ste A",
            "address_purpose": "LOCATION",
            "city": "Uvalde",
            "state": "TX",
            "postal_code": "788016052",
            "country_code": "US",
            "telephone_number": "830-278-5604 x3100",
            "fax_number": "830-278-1836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "STEVEN",
        "middle_name": "CYRUS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V1875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.