DR. RAY JAIME RODRIGUEZ (MD) – Allergy & Immunology Physician, NPI 1154324366

DR. RAY JAIME RODRIGUEZ (MD) is a healthcare provider. based in Madison, Mississippi. specializing in ALLERGY/IMMUNOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. V2927 (TX). The NPI Number for DR. RAY JAIME RODRIGUEZ (MD) is 1154324366

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAY JAIME RODRIGUEZ (MD)
NPI
1154324366
Phone
(601) 499-0935
Address
7730 OLD CANTON RD BLDG B
Enumeration Date
23 May 2005
Last Update Date
16 January 2025

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
2547242663
Graduation Year
1984 (42 years ago)
PAC ID
6901902113
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20241001002328
Address ID
TX765080001TE2401XBLDG501

Contacts

Secure Messaging
rrodriguez1359559@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

45 ALLERGY/IMMUNOLOGY in MS

Provider Addresses for DR. RAY JAIME RODRIGUEZ (MD)

  • 7730 OLD CANTON RD BLDG B

    MADISON, MS 391109299

    Phone: (601) 499-0935

    Fax: (601) 499-0936

    Type: Location

  • 1605 S 31ST ST

    TEMPLE, TX 765089299

    Phone: (254) 724-2111

    Type: Location

  • Cups, 7000 Ste B, Old Canton Road, Gateway North, Ridgeland, Madison County, Mississippi, 39157, United States

    MADISON, MS 391106115

    Phone: (601) 499-0935

    Fax: (601) 499-0936

    Type: Mailing

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $810.

Total Amount is formed as General ($810) + Research ($0) + Ownership ($0) = $810.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: BioMarin Pharmaceutical Inc. ($229).

Total Amount

$810

General + Research + Ownership

Payments

8

Total payment records

General Amount

$810

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

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: 2024-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120709000194IAllergy/ImmunologyMSTBD
I20241001002328IAllergy/ImmunologyTXTBD

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
96366Infusion into a vein for therapy, prevention, or diagnosis, each additional hour59012$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less17813$0
View full utilization report →

Insurance plans in this area (ZIP 39110)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Is there an official ID for DR. RAY JAIME RODRIGUEZ (MD) in U.S. healthcare records?
The official identifier for DR. RAY JAIME RODRIGUEZ (MD) is NPI 1154324366.
Is DR. RAY JAIME RODRIGUEZ (MD) still an active registrant?
DR. RAY JAIME RODRIGUEZ (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. RAY JAIME RODRIGUEZ (MD)?
At a glance, DR. RAY JAIME RODRIGUEZ (MD) is tied to Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. RAY JAIME RODRIGUEZ (MD)?
Directory geography for DR. RAY JAIME RODRIGUEZ (MD) centers on Madison, Mississippi.
Can I trust this NPI listing for DR. RAY JAIME RODRIGUEZ (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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