Stephen William Roderer, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

35.127897 Issued in OH

Practice address

5775 N Meadows Dr Ste D
Grove City, OH 43123-7300

Phone

(614) 224-4200

Fax

(614) 224-4207

NPI assigned

Mar 27, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Ohio State University College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Nephrology, Inc.Group PAC ID 5092709915, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC - Washington Courthouse Dialysis facility, Washington Court House, OH, CCN 362675
• FMC- Westerville Dialysis Dialysis facility, Westerville, OH, CCN 362686
• FMC - Liberty Mid-America Dialysis LLC. Dialysis facility, Columbus, OH, CCN 362649
• Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
• Grant Medical Center Hospital, Columbus, OH, CCN 360017
• Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
• Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
• Diley Ridge Medical Center Hospital, Canal Winchester, OH, CCN 360358

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sroderer29627@direct.acumenmd.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Columbus Nephrology, Inc.

  • Nephrology Physician
  • Grove City, OH
  • NPI 1396835757
  Medicare reassignment Care Compare group NPD

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

• Bio-Medical Applications of Ohio, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Westerville, OH
  • NPI 1386602282

  Dialysis facility

  Care Compare affiliation Name & address match
• Mid-America Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Columbus, OH
  • NPI 1194834903

  Dialysis facility

  Care Compare affiliation Name & address match
• Diley Ridge Medical Center

  • General Acute Care Hospital
  • Canal Winchester, OH
  • NPI 1225361181
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Westerville, OH
  • NPI 1417037045
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Grove City, OH
  • NPI 1710067376
  Care Compare affiliation
• Mount Carmel Health System

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1982784534
  Care Compare affiliation
• Ohio State University Hospitals

  • Rehabilitation Hospital Unit
  • Columbus, OH
  • NPI 1184723637
  Care Compare affiliation
• Ohio State University Hospitals

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1447359997
  Care Compare affiliation
• Ohio State University Hospitals

  • Psychiatric Hospital Unit
  • Columbus, OH
  • NPI 1790876183
  Care Compare affiliation
• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1255377149
  Care Compare affiliation

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1225455249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 N MEADOWS DR STE D",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431237300",
            "telephone_number": "614-224-4200",
            "fax_number": "614-224-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 N MEADOWS DR STE D",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431237300",
            "telephone_number": "614-224-4200",
            "fax_number": "614-224-4207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 McNaughten Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432135111",
            "country_code": "US",
            "telephone_number": "614-224-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODERER",
        "first_name": "STEPHEN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35.127897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "35.127897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Robinson
• Lindsey Robinson
• Rachel Robinson, LPN
• Sallie Ann Robinson, RN
• Renee Marie Robles, LSW
• Brandon Rodgers, MD
• Amber Roese
• Diana Lynn Rollins, LPN
• Candace Ross, LPN
• Tureka Renee Ross

• Nephrology Physician in Grove City, OH
• Providers in Grove City, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.

Verify at the official NPI Registry.