Active NPI
Roderick Warren, MD
- Surgery Physician
- Atchison, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0428647
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209411602 | Medicaid | MO | |
| 100458720D | Medicaid | KS | |
| 103525 | Other | KS | BLUE CROSS OF KS |
| 16289068 | Other | PTAN | |
| 30004305590002 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Hiawatha Hospital Association Inc
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
- Amberwell Atchison Association
- Community Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.01 of 100
- Quality
- 84.2
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.95 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 76.5
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 81.83
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.61
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 104 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 79 |
| Melanoma (skin cancer) excision | 13 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22487 | KS | MD | Family Medicine Physician |
| 0428647 | KS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hiawatha Hospital Association Inc | Family Medicine | Current | Accepting new patients |
| Hiawatha Hospital Association Inc | Current | Accepting new patients | |
| Amberwell Atchison Association | Current | Accepting new patients | |
| Surgical Associates of NE KS | Surgery | Current | Accepting new patients |
| Amberwell Atchison Association | Current | Accepting new patients | |
| Hiawatha Hospital Association Inc | Current | Accepting new patients | |
| Amberwell Atchison Association | Family Medicine | Current | Accepting new patients |
| Amberwell Atchison Association | Past | 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.
-
- Critical Access Hospital
- Atchison, KS
- NPI 1932151487
-
- Critical Access Hospital
- Hiawatha, KS
- NPI 1255421210
-
- Nutrition Education Nutritionist
- Hiawatha, KS
- NPI 1518572395
-
- Critical Access Hospital
- Washington, KS
- NPI 1396764445
-
- Family Medicine Physician
- Atchison, KS
- NPI 1528450913
-
- Rural Health Clinic/Center
- Herington, KS
- NPI 1700669819
-
- Family Medicine Physician
- Hiawatha, KS
- NPI 1831273044
-
- Occupational Medicine Physician
- Atchison, KS
- NPI 1609244508
-
- Rural Health Clinic/Center
- Lansing, KS
- NPI 1780391409
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Atchison, KS
- NPI 1932151487
-
- Critical Access Hospital
- Hiawatha, KS
- NPI 1255421210
-
- Critical Access Hospital
- Falls City, NE
- NPI 1881643484
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.