Individual provider Active NPI

Rodney Burt, MD

  • Anesthesiology Physician
  • Des Moines, IA
National Provider Identifier
1396797783
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34269 Issued in IA
Practice address
700 E University Ave
Des Moines, IA 50316-2302
Phone
(847) 615-2200
Fax
(847) 615-2858
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34269 IA Primary

Addresses

Primary practice location

700 E University Ave
Des Moines, IA 50316-2302

Mailing address

PO Box 675
Ankeny, IA 50021-0675
Phone (847) 615-2200

Other identifiers 2

IdentifierTypeStateIssuer
57946OtherIAWELLMARK
1139329MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20061121000356 TN Practitioner - AnesthesiologyPractitioner - Pain Management 1456359751 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Meharry Medical College School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Medical Group, P.C.Group PAC ID 6901702307, 439 clinicians

Practice addresses (Care Compare)

355 New Shackle Island Rd
Hendersonville, TN 37075-2479
Phone (615) 338-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32469IAMDAnesthesiology Physician
34269IAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Group, PC Anesthesiology CurrentSince Mar 20, 2025 Accepting new patients
Medical Center Anesthesia Inc. Anesthesiology CurrentSince Oct 2, 2024 Accepting new patients
Sda Consultants PLLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Des Moines Anesthesiologists PC Anesthesiology Past Accepting new patients
Anesthesia Services of Middle Tennessee, PLLC Anesthesiology PastSince Sep 1, 2005 Accepting new patients
Des Moines Anesthesia and Pain Management Past Accepting new patients

Locations

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

127 Saundersville Rd
Hendersonvlle, TN 37075
Phone (615) 265-8038

353 New Shackle Island Rd
Ste 122B
Hendersonvlle, TN 37075
Phone (615) 822-2400

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

101 Physicians Way
Ste 114
Lebanon, TN 37090
Phone 6154490990209

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

Organizations & group practices 6

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 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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1396797783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500210675",
            "telephone_number": "847-615-2200",
            "fax_number": "847-615-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162302",
            "telephone_number": "847-615-2200",
            "fax_number": "847-615-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURT",
        "first_name": "RODNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "34269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "57946",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1139329",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.