Sandra Denise Rodriguez, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L9457 Issued in TX

Practice address

5700 E. Interstate 20 Service Rd South
Ste 200
Aledo, TX 76008

Phone

(817) 489-7337

Fax

(817) 489-7302

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sandra.rodriguez@hca7.eclinicaldirectplus.com

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.

• Dallas Medical Specialists, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1508217811
  Medicare reassignment NPD
• Timberland Medical Group

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1528061157
  Medicare reassignment NPD
• Timberland Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Cedar Park, TX
  • NPI 1023790045
  NPD
• Lonestar Provider Network

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1194765586
  NPD (past)
• Weatherford Health Services, LLC

  • General Acute Care Hospital
  • Weatherford, TX
  • NPI 1417471467
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1861428948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700E I-20 SERVICE S RD 200",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760085115",
            "telephone_number": "817-489-7337",
            "fax_number": "817-489-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 E. INTERSTATE 20 SERVICE RD SOUTH",
            "address_2": "STE 200",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "76008",
            "telephone_number": "817-489-7337",
            "fax_number": "817-489-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SANDRA",
        "middle_name": "DENISE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L9457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166320502 WITH TMG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "1861428948",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166320501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Ann Reddout, OTR/L
• Patricia Revere
• Michelle Reynolds
• Michael Jozsef Rezsofi, DDS
• Tobyn Ribitzki
• Audrey L Rogers, MD
• Maggie Lee Rose, M.S. CCC-SLP
• Abigail Rychlik, MSN, RN, CPN
• Anissa Sangster, DDS, MSD
• Courtney Sawyer, LPC

• Pediatrics Physician in Aledo, TX
• Providers in Aledo, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.