Active NPI
Katherine Sebastian Roden, M.D.
- Interventional Pain Medicine Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 51480
- Practice address
- 1207 S Broadway
Lexington, KY 40504-2701 - Phone
- (859) 258-6101
- Fax
- (859) 258-4411
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | LL34911 | SC | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 0101262583 | VA | |
| Interventional Pain Medicine Physician | 208VP0014X | 51480 | KY | Primary |
Addresses
Primary practice location
1207 S Broadway
Lexington, KY 40504-2701
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100544700 | Medicaid | KY |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- H2 Rehabilitation Services of Kentucky, LLC
Practice addresses (Care Compare)
1004 Leawood Dr
Frankfort, KY 40601-3349
Phone (502) 223-7403
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-4000
193 Glades Rd
Berea, KY 40403-2261
Phone (859) 956-1055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101262583 | VA | MD | Pain Medicine (Anesthesiology) Physician |
| 51480 | KY | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic PSC | Current | Accepting new patients | |
| New Lexington Clinic, PSC | Current | Accepting new patients |
Locations
1207 S Broadway
Lexington, KY 40504
Phone (859) 258-8519
1221 S Broadway
#3
Lexington, KY 40504
Phone (859) 258-6101
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
Interoperability endpoints
- katherine.roden.1@13059.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
-
- Occupational Therapist
- Frankfort, KY
- NPI 1932132149
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1982967824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-425-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6101",
"fax_number": "859-258-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODEN",
"first_name": "KATHERINE",
"middle_name": "SEBASTIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-15",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "LL34911",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VA",
"license": "0101262583",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "KY",
"license": "51480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100544700",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.