Individual provider Active NPI

Fabian Vicente Rodas Ochoa, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1972734234
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R4312 Issued in TX
Practice address
607 Camden St Ste 108
San Antonio, TX 78215
Phone
(210) 253-3426
Fax
(210) 237-4807
NPI assigned
Aug 5, 2009
Last updated
May 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R4312 TX Primary

Addresses

Primary practice location

607 Camden St Ste 108
San Antonio, TX 78215

Mailing address

607 Camden St Ste 108
San Antonio, TX 78215-2100
Phone (210) 253-3426

Other practice location 1

1130 Cottonwood Creek Trl Ste C1
Cedar Park, TX 78613-7862
Phone (512) 454-8378

Other practice location 2

1111 W 34th St Ste 210
Austin, TX 78705-1916
Phone (512) 454-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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
I20120831000287 FL Practitioner - Internal Medicine 9133376809 Reassigns benefits to 2 organizations
I20170921003161 TX Practitioner - Internal Medicine 9133376809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Liver Consultants PAGroup PAC ID 6103063078, 36 clinicians

Practice addresses (Care Compare)

4318 Dezalva
Building 4 Unit 403
San Antonio, TX 78249-4374
Phone (210) 253-3426

607 Camden St
Suite 108
San Antonio, TX 78215-2100
Phone (210) 253-3426

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4312TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Jan 26, 2013 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Texas Liver Consultants PA CurrentSince Aug 14, 2017 Accepting new patients
Adventhealth Primary Care Network Inc Internal Medicine Past Accepting new patients

Locations

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

2180 W State Road 434
Ste 2110
Longwood, FL 32779
Phone (407) 488-0515

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3100 E Fletcher Ave
#C
Tampa, FL 33613

200 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 646-7000

1111 W 34th St
Ste 210
Austin, TX 78705
Phone (512) 451-7935

7940 Shoal Creek Blvd
Ste 205
Austin, TX 78757
Phone (512) 454-8378

1130 Cottonwood Creek Trl
Ste C1
Cedar Park, TX 78613
Phone (512) 454-8375

607 Camden St
Ste 108
San Antonio, TX 78215
Phone (210) 325-8402

Organizations & group practices 5

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 7

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": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1972734234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 CAMDEN ST STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782152100",
            "telephone_number": "210-253-3426",
            "fax_number": "210-237-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CAMDEN ST STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78215",
            "telephone_number": "210-253-3426",
            "fax_number": "210-237-4807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 Cottonwood Creek Trl Ste C1",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786137862",
            "country_code": "US",
            "telephone_number": "512-454-8378",
            "fax_number": "888-965-8836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 W 34th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051916",
            "country_code": "US",
            "telephone_number": "512-454-8378",
            "fax_number": "888-965-8836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODAS OCHOA",
        "first_name": "FABIAN",
        "middle_name": "VICENTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-05",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R4312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.