NPIMap

Individual provider Active NPI

Rodney Wayne Dynes, MD

  • Family Medicine Physician
  • Windom, MN
National Provider Identifier
1356314223
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33684 Issued in MN
Practice address
820 2ND Ave N
Windom, MN 56101-1761
Phone
(507) 831-3388
Fax
(507) 831-4170
NPI assigned
Feb 9, 2006
Last updated
May 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33684 MN Primary

Addresses

Primary practice location

820 2ND Ave N
Windom, MN 56101-1761

Mailing address

PO Box 338
Windom, MN 56101-0338
Phone (507) 831-3388

Other identifiers 2

IdentifierTypeStateIssuer
080169739OtherRAILROAD MEDICARE
224703800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040503000818 MN Practitioner - Family Practice 0941298657 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians
Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians

Practice addresses (Care Compare)

1018 6TH Ave
Worthington, MN 56187-2202
Phone (507) 372-2941

1216 Ryans Rd
Worthington, MN 56187-1722
Phone (507) 372-2921

1216 Ryans Rd
Suite 3
Worthington, MN 56187-1781
Phone (507) 372-6522

1430 N Hwy
Jackson, MN 56143-1093
Phone (507) 847-2200

2020 Hospital Drive
Suite 2
Windom, MN 56101-1761
Phone (507) 831-1703

920 Bell Ave
Westbrook, MN 56183-9669
Phone (507) 274-1150

941 County Rd
Suite 9
Heron Lake, MN 56137-1408
Phone (507) 793-2349

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy16
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33684MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Avera McKennan CurrentSince May 1, 2001 Accepting new patients
Sanford Health Network Family Medicine Current Accepting new patients
Avera McKennan Current Accepting new patients
Rural Health Care, Inc Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Avera McKennan Family Medicine CurrentSince May 1, 2001 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Aug 12, 2022 Accepting new patients
Sanford Health Network CurrentSince Aug 12, 2022 Accepting new patients
Sanford Health Network Family Medicine Current Accepting new patients
Rural Health Care, Inc CurrentSince Sep 1, 2020 Accepting new patients
Sanford Health Network Current Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Sanford Health Network Past Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients
Mankato Clinic LTD Family Medicine Past Accepting new patients

Locations

1430 North Hwy
Jackson, MN 56143
Phone (507) 847-2200

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

300 S Bruce St
Ste 100
Marshall, MN 56258

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

2150 Hospital Dr
Ste A
Windom, MN 56101
Phone (507) 831-3388

820 2nd Ave N
Windom, MN 56101
Phone (507) 831-1370

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522

Interoperability endpoints

  • Direct secure messaging: rodney.dynes@avera.sdhealthlink.net

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Samaritan Society - WindomWindom, MN, CCN 245558 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 20, 2023
Oct 20, 2023
Good Samaritan Society - Home Care of Southwest MinnesotaWindom, MN, CCN 248061 Home health agency Contracted Managing Employee Oct 16, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1356314223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561010338",
            "telephone_number": "507-831-3388",
            "fax_number": "507-831-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE N",
            "city": "WINDOM",
            "state": "MN",
            "postal_code": "561011761",
            "telephone_number": "507-831-3388",
            "fax_number": "507-831-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYNES",
        "first_name": "RODNEY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "33684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080169739",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224703800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windom, MN

Sources for this page

Verify at the official NPI Registry.