Individual provider Active NPI

Elizabeth Rodriguez, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1851063374
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14776 Issued in TX
Practice address
7979 W Virginia Dr
Dallas, TX 75237-3798
Phone
(972) 780-8400
Fax
(972) 656-0380
NPI assigned
Oct 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14776 TX Primary

Addresses

Primary practice location

7979 W Virginia Dr
Dallas, TX 75237-3798

Mailing address

7979 W Virginia Dr
Dallas, TX 75237-3798
Phone (972) 780-8400

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
I20240105000263 TX Practitioner - Physician Assistant 3779934641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624

7979 W Virginia Dr
Dallas, TX 75237-3798
Phone (972) 780-8400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA14776TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Aug 12, 2024 Accepting new patients
Medhealth CurrentSince Aug 12, 2024 Accepting new patients

Locations

221 W Colorado Blvd
Ste 438
Dallas, TX 75208

7979 W Virginia Dr
Dallas, TX 75237
Phone (972) 296-4828

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.

NPI Registry JSON

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

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1851063374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7979 W VIRGINIA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373798",
            "telephone_number": "972-780-8400",
            "fax_number": "972-656-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 W VIRGINIA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373798",
            "telephone_number": "972-780-8400",
            "fax_number": "972-656-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-03",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.