JUAN CARLOS ULLOA-RODRIGUEZ MD
NPI 1336602879
Internal Medicine - Cardiovascular Disease in San Antonio, TX

Q: What is Juan Ulloa-rodriguez's NPI number?

The NPI number for Juan Ulloa-rodriguez is 1336602879. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Q: What is Juan Ulloa-rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-4000(210) 358-0647 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2025, Apr 11, 2019 (2 updates tracked since 2019).

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About Juan Carlos Ulloa-rodriguez Md NPPES

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

JUAN CARLOS ULLOA-RODRIGUEZ MD (NPI 1336602879) is an individual cardiovascular disease provider in San Antonio, Texas, licensed in Texas (U5548) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Centennial, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336602879

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJUAN CARLOS ULLOA-RODRIGUEZCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-4000 · Fax (210) 358-0647

Phone(210) 358-4000

Fax(210) 358-0647

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 11, 2019

Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1336602879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in TX · U5548

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License U5548 (TX)

Also ListedHospitalistTaxonomy 208M00000X · License U5548 (TX)

4502 MEDICAL DR, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Juan Carlos Ulloa-rodriguez Md 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 ID3870956840

PECOS Enrollment IDI20230824001835

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 Reassignments

Medicare enrollment records show Juan Ulloa-rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uthscsa Dental School

0.2 mi

Oral and Maxillofacial Surgery

7703 FLOYD CURL DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: University Of Texas Health Science Center At San Antonio
2,397 clinicians in this Medicare group

NPI 1750403887 (210) 567-3274

Healthtexas Provider Network

67 mi

Anesthesiology

100 MEDICAL PKWY
Lakeway, TX 78738

Reassigned Medicare billing, Texas enrollment
3,167 clinicians in this Medicare group

NPI 1104714583 (512) 571-5000

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

Hospital Affiliations CMS Care Compare 3

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

Baylor Scott & White Medical Center - Centennial

Acute Care Hospitals · Frisco, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450885

Location12505 Lebanon RoadFrisco, TX 75035 · Collin County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450890

Location4700 Alliance BoulevardPlano, TX 75093 · Collin County

Emergency services

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670025

Location1100 Allied DrivePlano, TX 75093 · Collin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$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 20

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

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)