Active NPI
Katherine Rodby, MD
- Plastic Surgery Physician
- Chapel Hill, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 2024-02110
- Practice address
- 55 Vilcom Center Dr Ste 110
Chapel Hill, NC 27514-1690 - Phone
- (984) 215-6350
- NPI assigned
- Jun 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 2021028031 | MO | |
| Surgery Physician | 208600000X | 125059670 | IL | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 72474 | WI | |
| Plastic Surgery Physician | 208200000X | 2024-02110 | NC | Primary |
Addresses
Primary practice location
55 Vilcom Center Dr Ste 110
Chapel Hill, NC 27514-1690
Mailing address
7034 Burnett-Womack Building
Chapel Hill, NC 27599-0001
Phone (919) 966-4446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225392186 | Medicaid | NC |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 14 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125059670 | IL | MD | Surgery Physician |
| 72474 | WI | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Surgery | Current | Accepting new patients |
| Park Ophthalmology | Past | Accepting new patients |
Locations
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
55 Vilcom Cir
Ste 110
Chapel Hill, NC 27514
Phone (919) 929-7990
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
Interoperability endpoints
- krodby389686@direct.froedtert.com
- krodby1141338@direct.unc.nchie.net
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Surgery
-
- Ophthalmology Physician
- Durham, NC
- NPI 1619150141
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1225392186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7034 BURNETT-WOMACK BUILDING",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275990001",
"telephone_number": "919-966-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 VILCOM CENTER DR STE 110",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275141690",
"telephone_number": "984-215-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODBY",
"first_name": "KATHERINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MO",
"license": "2021028031",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125059670",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WI",
"license": "72474",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NC",
"license": "2024-02110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1225392186",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.