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JOSE R RODARTE MD
NPI 1699031534
Family Medicine in Tucson, AZ

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
839 W CONGRESS ST, TUCSON, AZ 85745(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 26, 2025, Apr 2, 2024, Sep 28, 2016 (3 updates tracked since 2016).

About Jose R Rodarte Md NPPES

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

JOSE R RODARTE MD (NPI 1699031534) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (51967) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (2012).

NPPES Registry Identity

NPI1699031534
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSE R RODARTECredential: MD
Location Address839 W CONGRESS STTucson, AZ 85745-2819
Mailing Address839 W Congress StTucson, AZ 85745-2819 · (520) 670-3909 · Fax (520) 309-2560
Phone(520) 670-3909
Fax(520) 309-2560
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2012
Enumeration DateApril 4, 2012
Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1699031534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 51967
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
839 W CONGRESS ST, Tucson, AZ 85745
Open in Google Maps ↗

Other Identifiers 1

Medicaid158936AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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

Jose R Rodarte 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 ID2860786050
PECOS Enrollment IDI20160914001548
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

2

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

El Rio Santa Cruz Neighborhood Health Center, Inc
Same address
Federally Qualified Health Center (FQHC)
839 W CONGRESS ST
Tucson, AZ 85745
  • Reassigned Medicare billing, Arizona enrollment
  • 464 clinicians in this Medicare group
NPI 1487602736 (520) 670-3909
Northwest Allied Physicians LLC
6.8 mi
General Practice
6060 N FOUNTAIN PLAZA DR STE 270
Tucson, AZ 85704
  • Reassigned Medicare billing, Arizona enrollment
  • 296 clinicians in this Medicare group
NPI 1003833179 (520) 229-2578

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85745 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

NICOLA FINLEY MD
Internal Medicine
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 792-9890
MRS. LINDA GAIL NADLER CHAMBERLAIN OPTICIAN
Technician/Technologist (Optician)
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 620-6709
CRISTINA MONTIEL
Dental Hygienist
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
SHAWN LEE
Dental Hygienist
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
JANICE RODENBERG CNM
Advanced Practice Midwife
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3870
GABRIELLE OCHOA MD
Internal Medicine
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
DR. DANIEL JOSEPH CAPPOZZO D.C.
Chiropractor
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 670-3909
MR. HERMAN DAVID VERDUGO RPH
Pharmacist
839 W CONGRESS ST
TUCSON, AZ 85745
Pima County (520) 205-4996

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 Jose Rodarte's NPI number?

The NPI number for Jose Rodarte is 1699031534. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Jose Rodarte located?

Jose Rodarte practices at 839 W Congress St, Tucson, AZ 85745. The listed phone number is (520) 670-3909.

What is Jose Rodarte's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose Rodarte enrolled in Medicare?

Yes. Jose Rodarte 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 organizations bill Medicare for Jose Rodarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Rodarte reassigns Medicare benefits to 2 organizations: El Rio Santa Cruz Neighborhood Health Center, Inc (Tucson, AZ) and Northwest Allied Physicians LLC (Tucson, AZ). Each 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 Jose Rodarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Rodarte accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. and 2 other insurers list Jose Rodarte 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.

When was this NPI record last updated?

The NPPES record for Jose Rodarte was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.