Vivian S Rodes, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

00228 Issued in KY

Practice address

3080 Harrodsburg Rd
Suite 225
Lexington, KY 40503-2774

Phone

(859) 296-4272

Fax

(859) 296-9645

NPI assigned

Aug 4, 2006

Sex

Female

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 8

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1700894698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 HARRODSBURG RD",
            "address_2": "SUITE 225",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032774",
            "telephone_number": "859-296-4272",
            "fax_number": "859-296-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 HARRODSBURG RD",
            "address_2": "SUITE 225",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032774",
            "telephone_number": "859-296-4272",
            "fax_number": "859-296-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODES",
        "first_name": "VIVIAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "00228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "480031508",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2731875003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5223493",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000067586",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON BCBS",
            "identifier": "433808",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2700062",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002280",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1525858",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Christian Rock, M.D.
• Rocky Mountain Holdings LLC
• Katherine Sebastian Roden, M.D.
• Stephanie Rodenberg
• Joanna Rodes, LCSW
• Alexa Rodgers, RBT
• Haley Gryphon Griebel Rodgers
• Julia Rodgers
• Louis Rodgers, MD, PHD
• Mary Jane Rodgers, R.PH.

• Podiatrist in Lexington, KY
• Providers in Lexington, KY by specialty
• Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.