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JAVIER RODRIGUEZ-SANCHEZ M.D.
NPI 1326489758
Internal Medicine - Nephrology in Cedar Park, TX

Active since July 15, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1720 E WHITESTONE BLVD STE A, CEDAR PARK, TX 78613(512) 451-5800 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2023, Sep 30, 2021, Jul 24, 2018 and 2 more (5 updates tracked since 2016).

About Javier Rodriguez-sanchez M.d. NPPES

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

JAVIER RODRIGUEZ-SANCHEZ M.D. (NPI 1326489758) is an individual nephrology provider in Cedar Park, Texas, licensed in Texas (R5636) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Dell Seton Med Center At The University Of Tx, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1326489758
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJAVIER RODRIGUEZ-SANCHEZCredential: M.D.
Location Address1720 E WHITESTONE BLVD STE ACedar Park, TX 78613-7641
Mailing Address300 E Highland Mall Blvd Ste 1aAustin, TX 78752-3746 · (514) 451-5800
Phone(512) 451-5800
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 15, 2013
Last NPPES UpdateJanuary 30, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1326489758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · R5636
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1720 E WHITESTONE BLVD STE A, Cedar Park, TX 78613
Open in Google Maps ↗

Other Identifiers 1

Medicaid324427902TX

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Javier Rodriguez-sanchez M.d. 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 ID4082847298
PECOS Enrollment IDI20180530000988
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.

Medicare Billing Reassignment

Medicare enrollment records show Javier Rodriguez-sanchez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Austin Kidney Associates PA
16 mi
Nephrology
408 W 45TH ST
Austin, TX 78751
  • Reassigned Medicare billing, Texas enrollment
  • 38 clinicians in this Medicare group
NPI 1154669331 (512) 451-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
331 services141 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
200 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
195 services121 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
122 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
114 services99 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Cedar Park Regional Medical Center

Acute Care Hospitals · Cedar Park, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number670043
Location1401 Medical ParkwayCedar Park, TX 78613 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78613 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES

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

DR. STEPHEN C WELLS MD
Internal Medicine (Nephrology)
1720 E WHITESTONE BLVD STE A
CEDAR PARK, TX 78613
Williamson County (512) 451-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Javier Rodriguez-sanchez's NPI number?

The NPI number for Javier Rodriguez-sanchez is 1326489758. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Javier Rodriguez-sanchez located?

Javier Rodriguez-sanchez practices at 1720 E Whitestone Blvd Ste A, Cedar Park, TX 78613. The listed phone number is (512) 451-5800.

What is Javier Rodriguez-sanchez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Javier Rodriguez-sanchez enrolled in Medicare?

Yes. Javier Rodriguez-sanchez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Javier Rodriguez-sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Javier Rodriguez-sanchez reassigns Medicare benefits to Austin Kidney Associates PA (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Javier Rodriguez-sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Javier Rodriguez-sanchez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Javier Rodriguez-sanchez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Javier Rodriguez-sanchez affiliated with any hospitals?

According to CMS data, Javier Rodriguez-sanchez is affiliated with Dell Seton Med Center At The University Of Tx, Round Rock Medical Center, North Austin Medical Center, Ascension Seton Williamson and Cedar Park Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Javier Rodriguez-sanchez was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.