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RAFAEL M RODRIGUEZ M.D.
NPI 1871629253
Internal Medicine - Critical Care Medicine in San Antonio, TX

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment
18811 CIERRA SUR, SAN ANTONIO, TX 78258(210) 558-6288(210) 558-6289 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rafael M Rodriguez M.d. NPPES

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

RAFAEL M RODRIGUEZ M.D. (NPI 1871629253) is an individual critical care medicine provider in San Antonio, Texas, licensed in Texas (H3740) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1871629253
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameRAFAEL M RODRIGUEZCredential: M.D.
Location Address18811 CIERRA SURSan Antonio, TX 78258-4033
Mailing Address18811 Cierra SurSan Antonio, TX 78258-4033 · (210) 558-6288 · Fax (210) 558-6289
Phone(210) 558-6288
Fax(210) 558-6289
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateFebruary 27, 2007
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedOctober 25, 2024
✔ NPI 1871629253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in TX · H3740
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License H3740 (TX)
18811 CIERRA SUR, San Antonio, TX 78258
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Other Identifiers 1

Medicaid033473201TX

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, Imperial Insurance Companies, Inc..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

Rafael M Rodriguez 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 ID3971790510
PECOS Enrollment IDI20101209000046
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.

Areas of Expertise CMS Part B claims 5

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.
197 services106 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.
101 services99 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
86 services42 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.
43 services28 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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.

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 Rafael Rodriguez's NPI number?

The NPI number for Rafael Rodriguez is 1871629253. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Rafael Rodriguez located?

Rafael Rodriguez practices at 18811 Cierra Sur, San Antonio, TX 78258. The listed phone number is (210) 558-6288.

What is Rafael Rodriguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Rafael Rodriguez enrolled in Medicare?

Yes. Rafael Rodriguez 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.

What insurance does Rafael Rodriguez accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Rafael Rodriguez 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 Rafael Rodriguez affiliated with any hospitals?

According to CMS data, Rafael Rodriguez is affiliated with Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Rafael Rodriguez was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.