DR. TOMASZ ROGULA MD, PHD
NPI 1265407696
Surgery in Edinburg, TX

Q: What is Tomasz Rogula's NPI number?

The NPI number for Tomasz Rogula is 1265407696. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Q: What is Tomasz Rogula's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Tomasz Rogula was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment

5500 RAPHAEL DR, EDINBURG, TX 78539(956) 362-5673(956) 362-2038 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2023, Oct 10, 2022 (2 updates tracked since 2022).

On this page

About Dr. Tomasz Rogula Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TOMASZ ROGULA MD, PHD (NPI 1265407696) is an individual surgery provider in Edinburg, Texas, licensed in Texas (T9973) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1265407696

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. TOMASZ ROGULACredential: MD, PHD

Location Address5500 RAPHAEL DREdinburg, TX 78539-1407

Mailing AddressPo Box 5358Mcallen, TX 78502-5358 · (956) 362-5673 · Fax (956) 362-2038

Phone(956) 362-5673

Fax(956) 362-2038

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateFebruary 21, 2006

Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1265407696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · T9973

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

5500 RAPHAEL DR, Edinburg, TX 78539

Open in Google Maps ↗

Other Identifiers 1

Medicaid101099127PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tomasz Rogula Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436120581

PECOS Enrollment IDI20221020000131

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipPhysician

CMS Certification Number450869

Location5501 South MccollEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTINA SCHMIDT RD/LD

Dietitian, Registered