Individual provider Active NPI

Gabriel A Rodriguez, MD

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1881832525
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME96660 Issued in FL
Practice address
7709 San Jacinto PL
Suite 101
Plano, TX 75024-3215
Phone
(214) 709-1904
Fax
(214) 292-9329
NPI assigned
Feb 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME96660 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7709 San Jacinto PL
Suite 101
Plano, TX 75024-3215

Mailing address

7709 San Jacinto PL
Suite 101
Plano, TX 75024-3215
Phone (214) 709-1904

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
I20101118000124 TX Practitioner - Anesthesiology 4284774977

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carrollton Anesthesia Consultants Anesthesiology Current Accepting new patients

Locations

3330 Earhart Dr
Ste 206
Carrollton, TX 75006
Phone (888) 439-6560

Organizations & group practices 1

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1881832525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7709 SAN JACINTO PL",
            "address_2": "SUITE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243215",
            "telephone_number": "214-709-1904",
            "fax_number": "214-292-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7709 SAN JACINTO PL",
            "address_2": "SUITE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243215",
            "telephone_number": "214-709-1904",
            "fax_number": "214-292-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "GABRIEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME96660",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.