Individual provider Active NPI

Rodney Lane Redelsperger, M.D.

  • Internal Medicine Physician
  • Denver, NC
National Provider Identifier
1689668261
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200200785 Issued in NC
Practice address
294 N Highway 16
Suite a
Denver, NC 28037-8011
Phone
(704) 489-2400
Fax
(704) 489-2900
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200200785 NC Primary

Addresses

Primary practice location

294 N Highway 16
Suite a
Denver, NC 28037-8011

Mailing address

294 N Highway 16
Suite a
Denver, NC 28037-8011
Phone (704) 489-2400

Other identifiers 3

IdentifierTypeStateIssuer
133E0OtherNCBCBS
89133E0MedicaidNC
P00070763OtherNCRAILROAD MEDICARE

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
I20050606001097 NC Practitioner - Internal Medicine 8426099540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

201 McCullough Dr
Suite 310
Charlotte, NC 28262-3577
Phone (704) 547-1129

294 N NC 16 Business Hwy
Suite C
Denver, NC 28037-8741
Phone (704) 489-2401

7482 Waterside Crossing Blvd
Suite 103
Denver, NC 28037-3006
Phone (704) 827-0598

Hospital & facility affiliations

  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200200785NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Healthcare, PLLC Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients

Locations

294 N NC 16 Business Hwy
Ste C
Denver, NC 28037
Phone (704) 489-2401

Interoperability endpoints

  • Direct secure messaging: rodney.redelsperger.1@14293.direct.athenahealth.com

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 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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1689668261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 N HIGHWAY 16",
            "address_2": "SUITE A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378011",
            "telephone_number": "704-489-2400",
            "fax_number": "704-489-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 N HIGHWAY 16",
            "address_2": "SUITE A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378011",
            "telephone_number": "704-489-2400",
            "fax_number": "704-489-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDELSPERGER",
        "first_name": "RODNEY",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200200785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "133E0",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89133E0",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00070763",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.