JAMES RODRIGUEZ (PA-C) – Medical Physician Assistant, NPI 1164777512

JAMES RODRIGUEZ (PA-C) is a healthcare provider. based in Bedford, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for JAMES RODRIGUEZ (PA-C) is 1164777512

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JAMES RODRIGUEZ (PA-C)
NPI
1164777512
Phone
(817) 358-5800
Address
1305 AIRPORT FWY
Enumeration Date
20 July 2012
Last Update Date
10 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9403200505
Graduation Year
2012 (14 years ago)
PAC ID
2668622655
Group Practice PAC ID
4880657386
Professional Enrollment ID
I20121029000561
Address ID
TX762017527DE500XXDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:13State licenses:0Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for JAMES RODRIGUEZ (PA-C)

  • 1305 AIRPORT FWY

    BEDFORD, TX 760216605

    Phone: (817) 358-5800

    Type: Mailing

  • 2801 GATEWAY DR STE 100

    IRVING, TX 750632694

    Phone: (844) 388-6541

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-10-29

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
I20121029000561IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76021)

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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: 4880657386View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to JAMES RODRIGUEZ (PA-C)?
NPI 1164777512 is assigned to JAMES RODRIGUEZ (PA-C) under the national enumeration system.
Is JAMES RODRIGUEZ (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JAMES RODRIGUEZ (PA-C)'s specialty in plain language?
Clinically, the directory lists JAMES RODRIGUEZ (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place JAMES RODRIGUEZ (PA-C)?
The snapshot lists Bedford, Texas for JAMES RODRIGUEZ (PA-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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