RYAN MICHAEL RODRIGUEZ (PA-C, ATC) – Physician Assistant, NPI 1669660882

RYAN MICHAEL RODRIGUEZ (PA-C, ATC) is a healthcare provider. based in El paso, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, ATC. They hold a License No. 60229753 (WA). The NPI Number for RYAN MICHAEL RODRIGUEZ (PA-C, ATC) is 1669660882

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
RYAN MICHAEL RODRIGUEZ (PA-C, ATC)
NPI
1669660882
Phone
(915) 581-0712
Address
1387 George Dieter Dr Ste 160D
Enumeration Date
12 October 2007
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9155810712
Graduation Year
2014 (12 years ago)
PAC ID
6204223134
Group Practice PAC ID
4587827506
Professional Enrollment ID
I20220425000847
Address ID
TX799367654EL1400XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for RYAN MICHAEL RODRIGUEZ (PA-C, ATC)

  • 1387 George Dieter Dr Ste 160D

    El Paso, TX 799367410

    Phone: (915) 581-0712

    Fax: (915) 833-7312

    Type: Location

  • 9040A JACKSON AVE

    MADIGAN ARMY MEDICAL CENTER

    TACOMA, WA 984319500

    Phone: (253) 968-1574

    Fax: (253) 968-3148

    Type: Location

  • 820 E REDD RD BLDG B

    EL PASO, TX 799127275

    Phone: (915) 581-0712

    Fax: (915) 581-0712

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $5,185.

Total Amount is formed as General ($5,185) + Research ($0) + Ownership ($0) = $5,185.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Endo USA, Inc. ($2,695).

Total Amount

$5,185

General + Research + Ownership

Payments

21

Total payment records

General Amount

$5,185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-04-25

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
I20220425000847IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes1913$0
View full utilization report →

Insurance plans in this area (ZIP 79936)

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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: 4587827506View full group profile
NameSpecialtyState
P O D I A T R YTX
Orthopedic SurgeryTX
Family PracticeTX
Physical Medicine And RehabilitationTX
Physician AssistantTX
Physician AssistantGA
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physical Medicine And RehabilitationTX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

What is RYAN MICHAEL RODRIGUEZ (PA-C, ATC)'s NPI number?
RYAN MICHAEL RODRIGUEZ (PA-C, ATC)'s NPI is 1669660882 — the number used across U.S. healthcare to identify this provider.
Would RYAN MICHAEL RODRIGUEZ (PA-C, ATC) appear as active to a payer?
You can treat RYAN MICHAEL RODRIGUEZ (PA-C, ATC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for RYAN MICHAEL RODRIGUEZ (PA-C, ATC)?
At a glance, RYAN MICHAEL RODRIGUEZ (PA-C, ATC) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with RYAN MICHAEL RODRIGUEZ (PA-C, ATC)?
Directory geography for RYAN MICHAEL RODRIGUEZ (PA-C, ATC) centers on El Paso, Texas.
Does RYAN MICHAEL RODRIGUEZ (PA-C, ATC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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