Roderick Taylor Dippel, M.D,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17989 Issued in SC

Practice address

955 Ribaut Rd
Beaufort, SC 29902-5441

Phone

(843) 522-5005

Fax

(843) 522-5017

NPI assigned

May 26, 2006

Last updated

Jan 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, FL2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Hospitalists of Florida, LLC

  • Hospitalist Physician
  • Lake Wales, FL
  • NPI 1457646903
  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  SC

  Medicare reassignment NPD
• Beaufort County Memorial Hospital

  • General Practice Physician
  • Beaufort, SC
  • NPI 1336180165
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1699721852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 403631",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "302843631",
            "telephone_number": "770-740-0895",
            "fax_number": "770-740-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025441",
            "telephone_number": "843-522-5005",
            "fax_number": "843-522-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPPEL",
        "first_name": "RODERICK",
        "middle_name": "TAYLOR",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T19584",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Cornelius Diehl
• Hannah Diez, PT, DPT
• Sheila Dill, MSC, LPC, NCC
• Alan F Dinehart Jr., DC
• Angela Dingle
• Suzanne Jane Dirienzo, PA-C
• Tamica L. Doby, MSW
• Dakota Dodd, MA, LPCI
• Chemikia Doe
• Mary Lillian Dolan Johnson, DO

• Internal Medicine Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.