ROXANNE RODRIGUEZ (P.A.-C) – Physician Assistant, NPI 1093989352

ROXANNE RODRIGUEZ (P.A.-C) is a healthcare provider. based in Miami, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA05692 (TX). The NPI Number for ROXANNE RODRIGUEZ (P.A.-C) is 1093989352

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
ROXANNE RODRIGUEZ (P.A.-C)
NPI
1093989352
Phone
(210) 654-0030
Address
6101 BLUE LAGOON DR STE 200
Enumeration Date
17 April 2008
Last Update Date
20 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8303938222
Graduation Year
2007 (19 years ago)
PAC ID
6709949878
Group Practice PAC ID
8729302278
Professional Enrollment ID
I20090115000469
Address ID
TX781143136FL260XXNXXX500

Contacts

Secure Messaging
roxanne.rodriguez@conviva.eclinicaldirectplus.com
Secure Messaging
roxanne.rodriguez.1@29601.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness95
Years active:18State licenses:1Other names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for ROXANNE RODRIGUEZ (P.A.-C)

  • 6101 BLUE LAGOON DR STE 200

    MIAMI, FL 331263168

    Phone: (210) 654-0030

    Fax: (877) 212-6201

    Type: Mailing

  • 12602, Toepperwein Road, Live Oak, Bexar County, Texas, 78233, United States

    SUITE 100

    LIVE OAK, TX 782333269

    Phone: (210) 654-0030

    Fax: (855) 278-4550

    Type: Location

  • Blue Lagoon Drive, Miami-Dade County, Florida, 33126, United States

    MIAMI, FL 331262051

    Phone: (305) 500-2027

    Fax: (305) 500-2155

    Type: Mailing

  • 12602 TOEPPERWEIN RD STE 100

    LIVE OAK, TX 782333204

    Phone: (210) 654-0030

    Fax: (877) 212-6201

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($84).

Total Amount

$129

General + Research + Ownership

Payments

7

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090115000469IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes262177$0
99213Established patient office or other outpatient visit, 20-29 minutes10988$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit105105$0
G0008Administration of influenza virus vaccine5149$0
90674Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free3939$0
View full utilization report →

Insurance plans in this area (ZIP 33126)

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Provider's Procedures

ROXANNE RODRIGUEZ (P.A.-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX81002Urinalysis, manual test1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729302278View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family Practice, Emergency MedicineFL
Family PracticeTX
Internal Medicine, General PracticeFL
Family Practice, Geriatric MedicineFL
Nurse PractitionerTX
Nurse PractitionerNV
Nurse PractitionerFL
Nurse PractitionerTX
Internal MedicineTX

Reviews

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Frequently asked questions

How do I look up ROXANNE RODRIGUEZ (P.A.-C) by NPI?
Use NPI 1093989352 when you need to reference ROXANNE RODRIGUEZ (P.A.-C) in forms, claims, or directories.
Is ROXANNE RODRIGUEZ (P.A.-C) active in the national directory?
ROXANNE RODRIGUEZ (P.A.-C)'s public NPI profile is in an active state.
What kind of provider is ROXANNE RODRIGUEZ (P.A.-C)?
The page reflects Physician Assistant for ROXANNE RODRIGUEZ (P.A.-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for ROXANNE RODRIGUEZ (P.A.-C)?
The page summarizes Miami, Florida for ROXANNE RODRIGUEZ (P.A.-C); expand the address list for detail.
What if Miami, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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