Individual provider Active NPI

Antonio Aaron Rodriguez, MD

  • Sports Medicine (Emergency Medicine) Physician
  • Ada, OK
National Provider Identifier
1902191844
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
Q6465 Issued in TX
Practice address
919 Colony Dr
Ada, OK 74820-2329
Phone
(580) 235-0299
Fax
(580) 235-0297
NPI assigned
Jun 17, 2011
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 276183 NY
Emergency Medicine Physician 207P00000X Q6465 TX
Internal Medicine Physician 207R00000X BP1-00040918 TX
Sports Medicine (Emergency Medicine) Physician 207PS0010X Q6465 TX Primary

Addresses

Primary practice location

919 Colony Dr
Ada, OK 74820-2329

Mailing address

5917 Crosstown Expressway SH 286
Corpus Christi, TX 78417
Phone (361) 854-0811

Other practice location 1

5917 Crosstown Expressway SH 286
Corpus Christi, TX 78417
Phone (361) 854-0811

Other identifiers 3

IdentifierTypeStateIssuer
362584005MedicaidTX
04065821MedicaidNY
8FZ000OtherTXBC/BS PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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
I20160629002949 TX Practitioner - Emergency Medicine 7719205327
I20241218001320 OK Practitioner - Emergency MedicinePractitioner - Sports Medicine 7719205327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Sports Medicine
Education
University of Texas Medical Branch at Galveston, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curry Orthopedics and Sports Medicine PLLCGroup PAC ID 4981020328, 5 clinicians

Practice addresses (Care Compare)

919 Colony Dr
Ada, OK 74820-2329
Phone (580) 235-0299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6465TXMDEmergency Medicine Physician
BP1-00040918TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curry Orthopedics and Sports Medicine PLLC CurrentSince Jan 1, 2025 Accepting new patients
America's ER Site 001, LLC Past Accepting new patients

Locations

919 Colony Dr
Ada, OK 74820
Phone (580) 223-4795

1590 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-3333

Interoperability endpoints

  • Direct secure messaging: antonio.rodriguez.1@15288.direct.athenahealth.com

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

Hospital & facility affiliations 3

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1902191844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 CROSSTOWN EXPRESSWAY SH 286",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78417",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 COLONY DR",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202329",
            "telephone_number": "580-235-0299",
            "fax_number": "580-235-0297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5917 Crosstown Expressway SH 286",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "78417",
            "country_code": "US",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ANTONIO",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "276183",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q6465",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP1-00040918",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "TX",
            "license": "Q6465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362584005",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04065821",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN",
            "identifier": "8FZ000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.