JOSE R RODRIGUEZ (P.A.) – Physician Assistant, NPI 1437254679

JOSE R RODRIGUEZ (P.A.) is a healthcare provider. based in Flower mound, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA04899 (TX). The NPI Number for JOSE R RODRIGUEZ (P.A.) is 1437254679

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
JOSE R RODRIGUEZ (P.A.)
NPI
1437254679
Phone
(972) 420-1776
Address
5000 LONG PRAIRIE RD
Enumeration Date
13 September 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9724201776
Graduation Year
2006 (20 years ago)
PAC ID
4183720295
Group Practice PAC ID
2466842075
Professional Enrollment ID
I20070507000533
Address ID
TX750282783FL5000XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for JOSE R RODRIGUEZ (P.A.)

  • Long Prairie Road, Flower Mound, Denton County, Texas, 75028, United States

    FLOWER MOUND, TX 750282783

    Phone: (972) 420-1776

    Fax: (972) 221-8685

    Mailing address matches the actual address.

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: 2007-05-07

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
I20070507000533IPhysician 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 75028)

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Provider's Procedures

JOSE R RODRIGUEZ (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX73110X-ray of wrist, minimum of 3 views2420
PHYSICIAN ASSISTANTTX73140X-ray of fingers, minimum of 2 views2422

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: 2466842075View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Diagnostic RadiologyTX
Hand Surgery, Orthopedic SurgeryTX
Orthopedic SurgeryTX
Hand Surgery, Orthopedic SurgeryTX
Nurse PractitionerTX
Orthopedic SurgeryOH
Diagnostic RadiologyTX
Physical Medicine And RehabilitationIL
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

What is JOSE R RODRIGUEZ (P.A.)'s NPI number?
JOSE R RODRIGUEZ (P.A.)'s NPI is 1437254679 — the number used across U.S. healthcare to identify this provider.
Would JOSE R RODRIGUEZ (P.A.) appear as active to a payer?
You can treat JOSE R RODRIGUEZ (P.A.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for JOSE R RODRIGUEZ (P.A.)?
At a glance, JOSE R RODRIGUEZ (P.A.) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with JOSE R RODRIGUEZ (P.A.)?
Directory geography for JOSE R RODRIGUEZ (P.A.) centers on Flower Mound, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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