NPIMap

Individual provider Active NPI

Gary Michael Rodberg, MD

  • Pulmonary Disease Physician
  • Hendersonville, NC
National Provider Identifier
1255437117
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
201501339 Issued in NC
Practice address
705 6TH Ave W Ste a
Hendersonville, NC 28739
Phone
(828) 696-2570
Fax
(828) 693-0608
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 201501339 NC Primary

Addresses

Primary practice location

705 6TH Ave W Ste a
Hendersonville, NC 28739

Mailing address

800 N Justice St # 16
Hendersonville, NC 28791-3410
Phone (828) 694-8385

Other identifiers 2

IdentifierTypeStateIssuer
NCP859AOtherNCMEDICARE PTAN
00114969MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address grodberg143156@direct.UNC.nchie.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110002925 NC Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4789585613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Boston University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

705 6TH Ave W
Hendersonville, NC 28739-4161

800 N Justice St
Hendersonville, NC 28791-3410
Phone (828) 696-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201501339NCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfshore Medical Consultants, PA Pulmonary Disease CurrentSince Jan 13, 2000 Accepting new patients
Henderson County Hospital Corporation CurrentSince Sep 1, 2015 Accepting new patients
Henderson County Hospital Corporation CurrentSince Sep 1, 2015 Accepting new patients
Singing River Health System Past Accepting new patients
Henderson County Hospital Corp Pulmonary Disease Past Accepting new patients

Locations

22A Doctors Dr
Ocean Springs, MS 39564
Phone 2288721951 ext. 225

3631A Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 872-1951

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
#16
Hendersonville, NC 28791
Phone (828) 694-8350

705 6th Ave W
Hendersonville, NC 28739
Phone (828) 694-4552

705 6th Ave W
Ste A
Hendersonvlle, NC 28739
Phone (828) 639-3193

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Organizations & group practices 5

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 5

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1255437117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N JUSTICE ST # 16",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913410",
            "telephone_number": "828-694-8385",
            "fax_number": "828-694-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 6TH AVE W STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28739",
            "telephone_number": "828-696-2570",
            "fax_number": "828-693-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODBERG",
        "first_name": "GARY",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "201501339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NCP859A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114969",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "grodberg143156@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "705 6th Ave W Ste A",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.