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Deactivated NPI 1164593505 Deactivated / Inactive NPI Male Practitioner

Dr. Alfredo Dm Rodriguez , MD

Specialist • Mesquite, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Alfredo Rodriguez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 09, 2006
NPI Deactivation Date December 05, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Alfredo Rodriguez, MD was a registered Specialist practicing in Mesquite, TX. Throughout an active medical career spanning 18 years, Dr. Rodriguez provided care at the practice location at 2540 N GALLOWAY AVE until profile deactivation on 2024-12-05.

Historical Medicare Part B clinical services included new patient outpatient office visit, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2540 N Galloway Ave
Sutie # 301

Mesquite, TX 751506306

Telephone 9722707585
Fax 9726133334
Associated Practice Facility / Clinic
🏢 Michel Stephan Md Pa Facility NPI 1619946324

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mesquite, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Mesquite, TX (2033 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
18 18 $250.00 $206.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
16 12 $195.31 $146.20

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX MDF3594

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
NPI 1063231959

Licensed Master Social Worker

Ashlin Monk

Counselor - Mental Health

NPI 1255215570
Alireza Eftekhari , MS

Occupational Therapist

NPI 1326122847

Master of Science

Dr. Khurshid Khan , MD

Internal Medicine

NPI 1467475244

Doctor of Medicine (M.D.)

Azar Zafarnezhad , MS

Occupational Therapist

NPI 1477637668

Master of Science

Dr. Satish Goyal , MD

Internal Medicine

NPI 1528056538

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 05, 2024

Record deactivated on December 05, 2024

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 2540 N GALLOWAY AVE, SUTIE # 301, MESQUITE, TX 751506306 (Tel: 9722707585)

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Updated Business Mailing Address July 09, 2007

Registered at 2540 N GALLOWAY AVE, SUTIE # 301, MESQUITE, TX 751506306 (Tel: 9722707585)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ALFREDO RODRIGUEZ, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #MDF3594 in TX)

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Initial NPI Registration & Enumeration November 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164593505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2006
Last Update: July 09, 2007
Deactivation Date: December 05, 2024

Mailing Address

2540 N Galloway Ave, Sutie # 301

Mesquite, TX 751506306

Phone: 9722707585

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.