Individual provider Active NPI

Rodney Wade Stuart, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Irving, TX
National Provider Identifier
1841346525
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
NA Issued in FL
Practice address
6221 Riverside Dr Ste 119
Irving, TX 75039-3515
Phone
(866) 987-7284
NPI assigned
Jan 26, 2007
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD2009-0457 NM
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 6940834-1205 UT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NA FL Primary

Addresses

Primary practice location

6221 Riverside Dr Ste 119
Irving, TX 75039-3515

Mailing address

6221 Riverside Dr Ste 119
Irving, TX 75039-3515
Phone (694) 232-9920

Other identifiers 8

IdentifierTypeStateIssuer
44710OtherAZAZ MEDICAL BOARD
DR.0049560OtherCOCO MEDICAL BOARD
MD2009-0457OtherNMNM MEDICAL BOARD
284816OtherNYNY MEDICAL BOARD
N4136OtherTXTX MEDICAL BOARD
6940834-1205OtherUTUT MEDICAL BOARD
A109572OtherCACA MEDICAL BOARD
MD.203418OtherLALA MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100419000055 TX Practitioner - PathologyPractitioner - Hematology 9335276617 Reassigns benefits to 1 organization
I20250708003458 UT Practitioner - Pathology 9335276617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Southwestern Medical School at Dallas, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Experts IncGroup PAC ID 6204202138, 13 clinicians
Mattison Pathology, LLPGroup PAC ID 6204721467, 3 clinicians

Practice addresses (Care Compare)

1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000

4642 N Loop
289 Suite 205
Lubbock, TX 75039-3035
Phone (866) 987-7284

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6940834-1205UTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mattison Pathology, L.L.P. Anatomic Pathology & Clinical Pathology CurrentSince Jan 14, 2010 Accepting new patients
Mattison Pathology, L.L.P. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Pathology Experts Inc Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2025 Accepting new patients
Mattison Pathology, L.L.P. Anatomic Pathology & Clinical Pathology CurrentSince Jan 14, 2010 Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

4245 N Central Expy
Ste 420
Dallas, TX 75205
Phone (469) 232-9920

6221 Riverside Dr
Ste 119
Irving, TX 75039
Phone (469) 232-9920

410 N Utica Ave
Lubbock, TX 79416
Phone (806) 687-7284

4642 N Loop 289
Ste 205
Lubbock, TX 79416
Phone (806) 771-1352

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

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

Hospital & facility affiliations 2

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1841346525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 RIVERSIDE DR STE 119",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393515",
            "telephone_number": "694-232-9920",
            "fax_number": "469-232-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 RIVERSIDE DR STE 119",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393515",
            "telephone_number": "866-987-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "RODNEY",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NM",
            "license": "MD2009-0457",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "6940834-1205",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL BOARD",
            "identifier": "44710",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO MEDICAL BOARD",
            "identifier": "DR.0049560",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM MEDICAL BOARD",
            "identifier": "MD2009-0457",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICAL BOARD",
            "identifier": "284816",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL BOARD",
            "identifier": "N4136",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UT MEDICAL BOARD",
            "identifier": "6940834-1205",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL BOARD",
            "identifier": "A109572",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA MEDICAL BOARD",
            "identifier": "MD.203418",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.