Individual provider Active NPI

Matthew Aaron Rendel, MD

  • Neurological Surgery Physician
  • Lawrence, KS
National Provider Identifier
1386868123
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
01071850A Issued in IN
Practice address
1130 W 4TH St Ste 3204
Lawrence, KS 66044
Phone
(785) 505-5815
Fax
(785) 505-5278
NPI assigned
Apr 12, 2007
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 9406108 KS
Neurological Surgery Physician 207T00000X 01071850A IN Primary

Addresses

Primary practice location

1130 W 4TH St Ste 3204
Lawrence, KS 66044

Mailing address

1130 W 4TH St Ste 3204
Lawrence, KS 66044-1345
Phone (785) 505-5815

Other practice location 1

1400 N. Ritter Avenue
Suite 479
Indianapolis, IN 46219-3050
Phone (317) 355-1020

Other identifiers 3

IdentifierTypeStateIssuer
201115940MedicaidIN
000000793361OtherINANTHEM
P01124526OtherINRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matthew.rendell@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20101115000526 KS Practitioner - Neurosurgery 1850425406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topeka Physician Group LLCGroup PAC ID 6406112473, 149 clinicians

Practice addresses (Care Compare)

1700 SW 7TH St
Topeka, KS 66606-2489
Phone (785) 295-8108

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion70
Laminectomy or laminotomy (partial removal of spine bones)38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9406108KSMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Aug 1, 2018 Accepting new patients
Topeka Physician Group, LLC CurrentSince Sep 1, 2019 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Topeka Physician Group, LLC CurrentSince Sep 1, 2019 Accepting new patients
Lawrence Physicians LLC Neurological Surgery CurrentSince Aug 1, 2018 Accepting new patients
Major Hospital Past Accepting new patients
Topeka Hospital, LLC Past Accepting new patients

Locations

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

1130 W 4th St
Ste 3204
Lawrence, KS 66044
Phone (785) 505-5815

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310

Interoperability endpoints

  • Direct secure messaging: mrendel273753@ahs.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1386868123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W 4TH ST STE 3204",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441345",
            "telephone_number": "785-505-5815",
            "fax_number": "785-505-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W 4TH ST STE 3204",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-505-5815",
            "fax_number": "785-505-5278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N. Ritter Avenue",
            "address_2": "Suite 479",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193050",
            "country_code": "US",
            "telephone_number": "317-355-1020",
            "fax_number": "317-355-1023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENDEL",
        "first_name": "MATTHEW",
        "middle_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KS",
            "license": "9406108",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01071850A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201115940",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000793361",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01124526",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matthew.rendell@direct.lmh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1130 W 4th St Ste 3204",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "66044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.