Individual provider Active NPI

Rodney Fitzhugh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Raleigh, NC
National Provider Identifier
1962488759
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
474 Issued in NC
Practice address
2701 New Bern Ave
Raleigh, NC 27610-1822
Phone
(919) 231-7969
Fax
(919) 231-7970
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 474 NC Primary

Addresses

Primary practice location

2701 New Bern Ave
Raleigh, NC 27610-1822

Mailing address

PO Box 14759
Raleigh, NC 27620-4759
Phone (919) 231-7969

Other identifiers 2

IdentifierTypeStateIssuer
0809MOtherNCBCBS
890809MMedicaidNC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118001219 NC Practitioner - Podiatry 5799971503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2701 New Bern Ave
Raleigh, NC 27610-1822
Phone (919) 231-7969

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue115
Removal of skin lesions1-10
Removal of nail tissue298
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01313MDMDSpeech-Language Pathologist
474NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates of North Carolina, PLLC Podiatrist CurrentSince Nov 2, 2010 Accepting new patients
Foot & Ankle Associates of North Carolina, PLLC Podiatrist CurrentSince Nov 2, 2010 Accepting new patients
Nurse Practitioners and Consultants P C Past Accepting new patients
Polun Family Footcare P C Podiatrist Past Accepting new patients
Premier Podiatry of Virginia LLC Podiatrist Past Accepting new patients

Locations

2701 New Bern Ave
Raleigh, NC 27610
Phone (919) 231-7969

740 Sutters Creek Blvd
Rocky Mount, NC 27804
Phone (252) 451-4040

Interoperability endpoints

  • Direct secure messaging: rodneyfitzhugh@faaaoncp-nc.direct.office.nextgen.com

Organizations & group practices 5

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 4

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1962488759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14759",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276204759",
            "telephone_number": "919-231-7969",
            "fax_number": "919-231-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101822",
            "telephone_number": "919-231-7969",
            "fax_number": "919-231-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZHUGH",
        "first_name": "RODNEY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0809M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890809M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.