Individual provider Active NPI

Roderick Warren, MD

  • Surgery Physician
  • Atchison, KS
National Provider Identifier
1528083078
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0428647 Issued in KS
Practice address
800 Ravenhill Dr Ste 100&107
Atchison, KS 66002-9204
Phone
(913) 674-2340
Fax
(913) 674-2039
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0428647 KS Primary
Family Medicine Physician 207Q00000X 22487 KS

Addresses

Primary practice location

800 Ravenhill Dr Ste 100&107
Atchison, KS 66002-9204

Mailing address

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-2131

Other practice location 1

1004 Progress Dr Ste 180&145
Lansing, KS 66043-6326
Phone (913) 297-3215

Other practice location 2

300 Utah St Ste 200
Hiawatha, KS 66434-2314
Phone (785) 742-2161

Other practice location 3

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Other identifiers 5

IdentifierTypeStateIssuer
209411602MedicaidMO
100458720DMedicaidKS
103525OtherKSBLUE CROSS OF KS
16289068OtherPTAN
30004305590002MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040413000562 KS Practitioner - General Surgery 5597758292 Reassigns benefits to 6 organizations
I20040421001129 NE Practitioner - General Surgery 5597758292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amberwell Atchison AssociationGroup PAC ID 2466363858, 54 clinicians
Hiawatha Hospital Association IncGroup PAC ID 9032007364, shared by 5 NPIs, 47 clinicians

Practice addresses (Care Compare)

1004 Progress Dr
Lansing, KS 66043-6326
Phone (913) 297-3215

300 Utah St
Hiawatha, KS 66434-2314

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

311 W Locust St
Troy, KS 66087-5252
Phone (913) 367-7300

3307 Barada St
Falls City, NE 68355-2470
Phone (785) 527-2254

800 Ravenhill Dr
Atchison, KS 66002-9204

Hospital & facility affiliations

  • Hiawatha Community Hospital Hospital, Hiawatha, KS, CCN 171341
  • Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382
  • Community Medical Center, Inc Hospital, Falls City, NE, CCN 281352

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as individual
Quality
84.2
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
22.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.5

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy104
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux79
Melanoma (skin cancer) excision13
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22487KSMDFamily Medicine Physician
0428647KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Hospital Association Inc Family Medicine CurrentSince Sep 15, 2021 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Sep 15, 2021 Accepting new patients
Amberwell Atchison Association CurrentSince Jul 19, 2019 Accepting new patients
Surgical Associates of NE KS Surgery CurrentSince Jan 1, 2004 Accepting new patients
Amberwell Atchison Association CurrentSince Oct 22, 2025 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Oct 1, 2025 Accepting new patients
Amberwell Atchison Association Family Medicine CurrentSince Jul 19, 2019 Accepting new patients
Amberwell Atchison Association PastSince May 25, 2025 Accepting new patients
Amberwell Atchison Association Past Accepting new patients

Locations

140 W 4th St
Saint Ansgar, IA 50472
Phone (641) 713-4381

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

810 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-7300

800 Ravenhill Dr
Ste 100
Atchison, KS 66002
Phone (913) 360-5398

800 Ravenhill Dr
Ste 100107
Atchison, KS 66002
Phone (913) 367-2131

820 Ravenhill Dr
Ste 107
Atchison, KS 66002
Phone (913) 674-2380

2420 G St
Belleville, KS 66935
Phone (785) 527-2254

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

300 Utah St
Ste 200
Hiawatha, KS 66434
Phone (785) 742-2161

510 Kansas Ave
Holton, KS 66436
Phone 78536421162195

1110 Columbine Dr
Holton, KS 66436
Phone (785) 364-2126

708 N 18th St
Marysville, KS 66508
Phone (785) 562-2311

511 Paramount St
Sabetha, KS 66534
Phone (785) 284-3471

1600 Community Dr
Seneca, KS 66538
Phone (785) 273-1720

311 W Locust St
Troy, KS 66087
Phone (785) 985-3504

304 E 3rd St
Washington, KS 66968
Phone (785) 325-2211

400 10th St E
Waconia, MN 55387

2022 13th St
Auburn, NE 68305
Phone (402) 274-4366

3307 Bill Schock Blvd
Falls City, NE 68355
Phone (402) 245-2428

600 I St
Pawnee City, NE 68420
Phone (402) 852-2231

202 High St
Tecumseh, NE 68450
Phone (402) 274-4373

Organizations & group practices 10

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 3

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1528083078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RAVENHILL DR STE 100&107",
            "city": "ATCHISON",
            "state": "KS",
            "postal_code": "660029204",
            "telephone_number": "913-674-2340",
            "fax_number": "913-674-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Progress Dr Ste 180&145",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660436326",
            "country_code": "US",
            "telephone_number": "913-297-3215",
            "fax_number": "913-297-2732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Utah St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342314",
            "country_code": "US",
            "telephone_number": "785-742-2161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342326",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "RODERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0428647",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "22487",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209411602",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100458720D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF KS",
            "identifier": "103525",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "16289068",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004305590002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atchison, KS

Sources for this page

Verify at the official NPI Registry.