MR. RODOLFO GUAJARDO (PA-C) – Physician Assistant, NPI 1174828719
Physician Assistant
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. RODOLFO GUAJARDO (PA-C)
3230 INTERSTATE 30 STE 100
MESQUITE, TX 751502662
Phone: (972) 682-1791
Type: Mailing
2820 N BELT LINE RD STE 100
SUNNYVALE, TX 751829304
Phone: (972) 288-6189
Fax: (972) 698-7641
Type: Mailing
14100 SAN PEDRO AVE STE 412
SAN ANTONIO, TX 782322009
Phone: (210) 281-8669
Fax: (210) 314-5044
Type: Mailing
2302 SE MILITARY DR STE 107
SAN ANTONIO, TX 782233585
Phone: (210) 370-3176
Fax: (210) 314-5044
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $512.
Total Amount is formed as General ($512) + Research ($0) + Ownership ($0) = $512.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($118).
Total Amount
$512
General + Research + Ownership
Payments
23
Total payment records
General Amount
$512
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $118 |
| Corium, LLC | $64 |
| IRONSHORE PHARMACEUTICALS INC. | $50 |
| GENZYME CORPORATION | $49 |
| Regeneron Healthcare Solutions, Inc. | $48 |
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: 2024-01-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240109003651 | I | Physician Assistant | TX | TBD |
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.
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 75150)
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