DR. CARLOS JOSE RODRIGUEZ (DO) – Surgery Physician, NPI 1215991054

DR. CARLOS JOSE RODRIGUEZ (DO) is a healthcare provider. based in Fort worth, Texas. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials DO. They hold a License No. R7867 (TX). The NPI Number for DR. CARLOS JOSE RODRIGUEZ (DO) is 1215991054

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARLOS JOSE RODRIGUEZ (DO)
NPI
1215991054
Phone
(817) 250-7030
Address
800 5TH AVE STE 410
Enumeration Date
17 April 2006
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
8172507230
Graduation Year
1999 (27 years ago)
PAC ID
1951493444
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20180813002815
Address ID
TX761047311FO800XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,644 GENERAL SURGERY in TX

Provider Addresses for DR. CARLOS JOSE RODRIGUEZ (DO)

  • 800 5TH AVE STE 410

    FORT WORTH, TX 761047311

    Phone: (817) 250-7030

    Type: Mailing

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 753732973

    Phone: (817) 720-2450

    Type: Mailing

  • John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761044917

    Phone: (817) 702-3431

    Fax: (817) 927-3603

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $43,318.

Total Amount is formed as General ($43,318) + Research ($0) + Ownership ($0) = $43,318.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($41,532).

Total Amount

$43,318

General + Research + Ownership

Payments

73

Total payment records

General Amount

$43,318

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

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: 2018-08-13

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
I20180813002815IGeneral SurgeryTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4622$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4324$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4122$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3333$0
99238Hospital discharge day management, 30 minutes or less2019$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

What NPI should I save for DR. CARLOS JOSE RODRIGUEZ (DO)?
Save NPI 1215991054 if you need a stable reference for DR. CARLOS JOSE RODRIGUEZ (DO).
Does this profile mean DR. CARLOS JOSE RODRIGUEZ (DO) is currently active?
Yes — DR. CARLOS JOSE RODRIGUEZ (DO) appears active in the national provider directory.
Can you summarize DR. CARLOS JOSE RODRIGUEZ (DO)'s specialty in plain language?
Clinically, the directory lists DR. CARLOS JOSE RODRIGUEZ (DO) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. CARLOS JOSE RODRIGUEZ (DO)'s primary listing?
We display Fort Worth, Texas because that is what the record indicates for DR. CARLOS JOSE RODRIGUEZ (DO).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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