Individual provider Active NPI

Rodney Earl Todd, M.D.

  • Family Medicine Physician
  • Roseburg, OR
National Provider Identifier
1629085907
Registry record updated Jun 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD25765 Issued in OR
Practice address
2282 NW Troost St Ste 103
Roseburg, OR 97471-6072
Phone
(541) 672-4798
NPI assigned
Aug 1, 2006
Last updated
Jun 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2013

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 MD25765 OR Primary

Addresses

Primary practice location

2282 NW Troost St Ste 103
Roseburg, OR 97471-6072

Mailing address

2282 NW Troost St Ste 103
Roseburg, OR 97471-6072
Phone (541) 672-4798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20130524000656 OR Practitioner - Family Practice 4486892841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rod Todd MD PCGroup PAC ID 1759529118, 3 clinicians

Practice addresses (Care Compare)

2282 NW Troost St
Suite 103
Roseburg, OR 97471-6072
Phone (541) 672-4798

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25765ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rod Todd MD PC Family Medicine CurrentSince Apr 14, 2013 Accepting new patients

Locations

2282 NW Troost St
Ste 103
Roseburg, OR 97471
Phone (541) 672-0497

Organizations & group practices 1

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 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371254400000",
    "number": "1629085907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 NW TROOST ST STE 103",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716072",
            "telephone_number": "541-672-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 NW TROOST ST STE 103",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716072",
            "telephone_number": "541-672-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "RODNEY",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD25765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.