Individual provider Active NPI

Denny Rodenberg

  • Surgery Physician
  • Burlington, NC
National Provider Identifier
1669436994
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9701858 Issued in NC
Practice address
1041 Kirkpatrick Rd Ste 150
Burlington, NC 27215-8068
Phone
(336) 663-5044
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9701858 NC Primary

Addresses

Primary practice location

1041 Kirkpatrick Rd Ste 150
Burlington, NC 27215-8068

Mailing address

1701 Westchester Dr
Suite 850
High Point, NC 27262-7008
Phone (336) 802-2150

Other practice location 1

1814 Westchester Dr
Suite 101
High Point, NC 27262-7299
Phone (336) 802-2150

Other identifiers 2

IdentifierTypeStateIssuer
2249106AOtherMEDICARE PTAN
6902961MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drodenberg569522@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101111001392 NC Practitioner - General Surgery 0749475028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Oral Roberts University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

1041 Kirkpatrick Rd
Suite 150
Burlington, NC 27215-8068
Phone (336) 538-1888

Hospital & facility affiliations

  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Nov 8, 2020 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Oct 23, 2013 Accepting new patients
Moses Cone Physician Services, Inc. Surgery Current Accepting new patients
Scotland Memorial Hospital Inc Surgery CurrentSince Oct 23, 2013 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Nov 8, 2020 Accepting new patients
Cornerstone Health Care PA Past Accepting new patients
High Point Regional Health Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1041 Kirkpatrick Rd
Ste 150
Burlington, NC 27215
Phone (336) 538-1888

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

205 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-4410

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 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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1669436994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DR",
            "address_2": "SUITE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627008",
            "telephone_number": "336-802-2150",
            "fax_number": "336-802-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK RD STE 150",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158068",
            "telephone_number": "336-663-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Westchester Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627299",
            "country_code": "US",
            "telephone_number": "336-802-2150",
            "fax_number": "336-802-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODENBERG",
        "first_name": "DENNY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9701858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2249106A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6902961",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drodenberg569522@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "cone health direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1041 Kirkpatrick Rd Ste 150",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272158068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.