Individual provider Active NPI

Rosiane Alfinito Roeder, MD

  • Plastic Surgery Physician
  • Hickory, NC
National Provider Identifier
1902055312
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2017-00050 Issued in NC
Practice address
315 19TH St SE
Hickory, NC 28602-4230
Phone
(828) 325-9849
NPI assigned
Sep 10, 2008
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 2017-00050 NC Primary

Addresses

Primary practice location

315 19TH St SE
Hickory, NC 28602-4230

Mailing address

1072 X Ray Dr
Gastonia, NC 28054-7498
Phone (704) 671-1094

Other practice location 1

13539 Reese Blvd W
Huntersville, NC 28078-7961
Phone (701) 892-4878

Other practice location 2

7476 Waterside Loop Rd
Denver, NC 28037-7679
Phone (704) 601-4381

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
I20170228000073 NC Practitioner - Plastic and Reconstructive Surgery 2668756289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Vermont College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Plastic Surgery and Dermatology PAGroup PAC ID 6800875188, 56 clinicians

Practice addresses (Care Compare)

959 Cox Rd
Gastonia, NC 28054-3420
Phone (704) 866-0106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
91.92
Promoting interoperability
94
Improvement activities
40
Cost
78.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15
Melanoma (skin cancer) excision124
Removal of tissue1-10
Removal of skin lesions38
Skin biopsy20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-00050NCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Plastic Surgery and Dermatology Past Accepting new patients

Organizations & group practices 2

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 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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1902055312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 X RAY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547498",
            "telephone_number": "704-671-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 19TH ST SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024230",
            "telephone_number": "828-325-9849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13539 Reese Blvd W",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280787961",
            "country_code": "US",
            "telephone_number": "701-892-4878",
            "fax_number": "704-892-7453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7476 Waterside Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280377679",
            "country_code": "US",
            "telephone_number": "704-601-4381",
            "fax_number": "704-822-5997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROEDER",
        "first_name": "ROSIANE",
        "middle_name": "ALFINITO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2017-00050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.