Individual provider Active NPI

Richard Edward Rodenberg Jr., MD

  • Pediatrics Physician
  • Columbus, OH
National Provider Identifier
1205811932
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35083261 Issued in OH
Practice address
1405 S High St
Columbus, OH 43207-1043
Phone
(614) 722-6200
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 35083261 OH
Pediatrics Physician 208000000X 35083261 OH Primary
Internal Medicine Physician 207R00000X 35083261 OH
Family Medicine Physician 207Q00000X 35083261 OH
Sports Medicine (Internal Medicine) Physician 207RS0010X 35083261 OH
Pediatric Sports Medicine Physician 2080S0010X 35083261 OH

Addresses

Primary practice location

1405 S High St
Columbus, OH 43207-1043

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-5123

Other practice location 1

380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 722-6200

Other practice location 2

3691 Ridge Mill Dr
Hilliard, OH 43026-7752
Phone (614) 293-5123

Other practice location 3

2857 W Broad St
Columbus, OH 43204-2643
Phone (614) 722-6200

Other practice location 4

1777 E Dublin Granville Rd
Columbus, OH 43229-3502
Phone (614) 722-6200

Other practice location 5

1405 S High St
Columbus, OH 43207-1043
Phone (614) 722-6200

Other practice location 6

4766 W Broad St
Columbus, OH 43228-1613
Phone (614) 722-6200

Other practice location 7

1390 Cleveland Ave
Columbus, OH 43211-2767
Phone (614) 722-6200

Other practice location 8

1125 E Main St
Columbus, OH 43205-1931
Phone (614) 722-6200

Other practice location 9

3553 Cleveland Ave
Columbus, OH 43224-2909
Phone (614) 722-6200

Other practice location 10

4560 Morse Centre Rd
Columbus, OH 43229-6602
Phone (614) 722-6200

Other practice location 11

5070 N High St
Columbus, OH 43214-1526
Phone (614) 722-6200

Other practice location 12

1657 Georgesville Square Dr
Columbus, OH 43228-3689
Phone (614) 722-2000

Other practice location 13

882 S Hamilton Rd
Columbus, OH 43213-3003
Phone (614) 722-2000

Other practice location 14

26 Hospital Dr
Athens, OH 45701-2471
Phone (614) 722-2000

Other practice location 15

433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 722-6200

Other practice location 16

441 Industrial Mile Rd
Columbus, OH 43228-2458
Phone (614) 722-6200

Other practice location 17

561 S Yearling Rd
Columbus, OH 43213-2894
Phone (614) 722-6200

Other practice location 18

2599 S Hamilton Rd
Columbus, OH 43232-4964
Phone (614) 722-6200

Other identifiers 1

IdentifierTypeStateIssuer
2464391MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050901000163 OH Practitioner - Internal MedicinePractitioner - Sports MedicinePractitioner - Pediatric MedicinePractitioner - Other (Physician) 2860392990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sports Medicine
Education
University of Toledo College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osu General Internal Medicine LLCGroup PAC ID 7517103955, 270 clinicians

Practice addresses (Care Compare)

3691 Ridge Mill Dr
Hilliard, OH 43026-7752
Phone (614) 688-9220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.32 of 100Reported as apm
Quality
71.78
Promoting interoperability
98.93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35083261OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osu General Internal Medicine LLC Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Nationwide Children'S Hospital CurrentSince Sep 2, 2024 Accepting new patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Jul 19, 2008 Accepting new patients
Nationwide Children'S Hospital Pediatrics CurrentSince Sep 2, 2024 Accepting new patients
University Emergency Medicine Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Orthopedic Trauma Services LTD Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
Ohiohealth Corporation Sports Medicine Past Accepting new patients

Locations (25 of 26)

Dept 781629
Detroit, MI 48278

26 Hospital Dr
Athens, OH 45701
Phone (614) 722-2530

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

3553 Cleveland Ave
Columbus, OH 43224
Phone 6147222000 ext. 2620

5070 N High St
Columbus, OH 43214
Phone (614) 355-9500

1125 E Main St
Columbus, OH 43205
Phone (614) 355-9200

1390 Cleveland Ave
Columbus, OH 43211
Phone (614) 355-9306

Dept L289
Columbus, OH 43260

1405 S High St
Columbus, OH 43207
Phone (614) 293-3330

1657 Georgesville Square Dr
Columbus, OH 43228
Phone (614) 355-9702

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

441 Industrial Mile Rd
Columbus, OH 43228
Phone (614) 355-9700

4766 W Broad St
Columbus, OH 43228
Phone (614) 851-7337

2599 S Hamilton Rd
Columbus, OH 43232
Phone (614) 355-9600

380 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 355-0569

1777 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 355-9700

2857 W Broad St
Columbus, OH 43204
Phone (614) 355-9900

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

4560 Morse Centre Rd
Columbus, OH 43229
Phone (614) 355-9400

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

5680 Venture Dr
Dublin, OH 43017
Phone (614) 355-8700

3691 Ridge Mill Dr
Hilliard, OH 43026
Phone (614) 685-3333

433 N Cleveland Ave
Westerville, OH 43082
Phone (614) 355-8300

882 S Hamilton Rd
Whitehall, OH 43213
Phone (614) 235-5555

Organizations & group practices 9

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 4

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1205811932",
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            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1390 Cleveland Ave",
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            "state": "OH",
            "postal_code": "432112767",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
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            "postal_code": "432051931",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3553 Cleveland Ave",
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            "postal_code": "432242909",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4560 Morse Centre Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432296602",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5070 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432141526",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1657 Georgesville Square Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432283689",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "882 S Hamilton Rd",
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            "city": "Columbus",
            "state": "OH",
            "postal_code": "432133003",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
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            "telephone_number": "614-722-2000",
            "country_name": "United States",
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        {
            "address_1": "433 N Cleveland Ave",
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            "postal_code": "430828095",
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            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 Industrial Mile Rd",
            "address_purpose": "LOCATION",
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            "postal_code": "432282458",
            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "561 S Yearling Rd",
            "address_purpose": "LOCATION",
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            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2599 S Hamilton Rd",
            "address_purpose": "LOCATION",
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            "state": "OH",
            "postal_code": "432324964",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODENBERG",
        "first_name": "RICHARD",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35083261",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35083261",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35083261",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35083261",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "OH",
            "license": "35083261",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "OH",
            "license": "35083261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2464391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.