Individual provider Active NPI

Simon Sergio Rodriguez, M.D.

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1952512246
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N5366 Issued in TX
Practice address
1601 Brown St
El Paso, TX 79902-4724
Phone
(915) 544-4500
Fax
(915) 544-4572
NPI assigned
May 25, 2007
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X N5366 TX Primary

Addresses

Primary practice location

1601 Brown St
El Paso, TX 79902-4724

Mailing address

1601 Brown St
El Paso, TX 79902-4724
Phone (915) 544-4500

Other practice location 1

1521 Joe Battle Blvd
El Paso, TX 79936-0922
Phone (915) 790-5700

Other practice location 2

4824 Alberta Ave Fl 4
El Paso, TX 79905-2709
Phone (915) 521-7731

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
I20101210000651 TX Practitioner - NephrologyPractitioner - Internal Medicine 2062609449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Kidney Specialists PAGroup PAC ID 6608866819, 9 clinicians
El Paso County Hospital DistrictGroup PAC ID 2365431509, 208 clinicians

Practice addresses (Care Compare)

11989 Pellicano Dr
Suite C
El Paso, TX 79936-6288
Phone (915) 857-0700

1310 Murchison Dr
Suite 100
El Paso, TX 79902-4821

1601 Brown St
El Paso, TX 79902-4724
Phone (915) 544-4500

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 521-7902

4824 Alberta Ave
El Paso, TX 79905-2709

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 298-5444

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
El Paso County Hospital District Current Accepting new patients
El Paso County Hospital District CurrentSince Mar 11, 2024 Accepting new patients
El Paso Kidney Specialists PA Nephrology CurrentSince Aug 16, 2010 Accepting new patients

Locations

11989 Pellicano Dr
Ste C
El Paso, TX 79936
Phone (915) 857-0700

1310 Murchison Dr
#100
El Paso, TX 79902
Phone (915) 303-8977

1521 Joe Battle Blvd
El Paso, TX 79936
Phone (915) 521-2200

1601 Brown St
El Paso, TX 79902
Phone (915) 533-1789

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

4824 Alberta Ave
Fl 4
El Paso, TX 79905
Phone (915) 521-7103

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17767/brand/1/csg/1/fhir/r4
  • Direct secure messaging: simon.rodriguez.1@17767.direct.athenahealth.com
  • Direct secure messaging: simon.rodriguez@direct.myhealthep.org

Organizations & group practices 3

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 12

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1952512246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BROWN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024724",
            "telephone_number": "915-544-4500",
            "fax_number": "915-546-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BROWN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024724",
            "telephone_number": "915-544-4500",
            "fax_number": "915-544-4572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 Joe Battle Blvd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799360922",
            "country_code": "US",
            "telephone_number": "915-790-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4824 Alberta Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052709",
            "country_code": "US",
            "telephone_number": "915-521-7731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SIMON",
        "middle_name": "SERGIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N5366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.