Michael Edward Rodriguez, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA11931 Issued in TX

Practice address

5540 Raphael Dr
Edinburg, TX 78539-1407

Phone

(956) 362-6683

Fax

(956) 362-6851

NPI assigned

Mar 14, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

80.08 of 100Reported as group

Quality

55.39

Improvement activities

40

Cost

70.03

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Rio Grande Valley Orthopedic Center

  • Orthopaedic Surgery Physician
  • McAllen, TX
  • NPI 1619026507
  Medicare reassignment
• Doctors Hospital at Renaissance, LTD

  • Multi-Specialty Clinic/Center
  • Edinburg, TX
  • NPI 1710600556
  NPD (past)
• Dr Bradley Shipman MD PLLC

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1386053684
  NPD (past)

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1841793007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4624",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024624",
            "telephone_number": "956-362-6683",
            "fax_number": "956-362-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 RAPHAEL DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391407",
            "telephone_number": "956-362-6683",
            "fax_number": "956-362-6851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 W Sunset Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78209",
            "country_code": "US",
            "telephone_number": "210-293-2663",
            "fax_number": "210-293-2719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA11931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leroy M Rodriguez
• Lisa Victoria Rodriguez, M.A., CCC-SLP
• Manuela Rodriguez, RN
• Maricela Rodriguez, OTR
• Melinda Rodriguez, RN, FNP
• Natalie Mabel Rodriguez, DDS
• Nazli Asiadeth Rodriguez, LPC
• Nilda D Rodriguez, FNP
• Ramon Moya Rodriguez, LPC
• Rebecca Marie Rodriguez, RBT

• Surgical Physician Assistant in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.