Individual provider Active NPI

Rachel Rader, DPM

  • Podiatrist
  • Statesville, NC
National Provider Identifier
1073516175
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD001007 Issued in GA
Practice address
199 Howard Pond Loop
Statesville, NC 28625-2280
Phone
(704) 872-0617
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD001007 GA Primary

Addresses

Primary practice location

199 Howard Pond Loop
Statesville, NC 28625-2280

Mailing address

199 Howard Pond Loop
Statesville, NC 28625-2280
Phone (704) 872-0617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000258 NC Practitioner - Podiatry 1052360849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

Practice addresses (Care Compare)

757 Bryant St
Statesville, NC 28677-4142
Phone (704) 873-5658

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
539NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Iredell Physician Network LLC CurrentSince Jan 21, 2025 Accepting new patients
Iredell Physician Network LLC CurrentSince Jan 21, 2025 Accepting new patients
Iredell Physician Network, LLC PastSince Mar 26, 2023 Accepting new patients
Dpmgiaimoproh LLC Podiatrist Past Accepting new patients
Choice Podiatry Center, Inc. Podiatrist PastSince Aug 1, 2018 Accepting new patients
Advanced Foot Surgeons, Inc. Past Accepting new patients
Dpmwoleryproh LLC Past Accepting new patients

Locations

766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182

766 Hartness Rd
Ste B
Statesville, NC 28677

757 Bryant St
Statesville, NC 28677
Phone (704) 873-5658

218 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-7461

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1073516175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 HOWARD POND LOOP",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252280",
            "telephone_number": "704-872-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 HOWARD POND LOOP",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252280",
            "telephone_number": "704-872-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.