RICHARD EDWARD JR. RODENBERG (MD) – Pediatrics Physician, NPI 1205811932

Pediatrics Physician

RICHARD EDWARD JR. RODENBERG (MD) is a healthcare provider. based in Columbus, Ohio. specializing in INTERNAL MEDICINE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 35083261 (OH). The NPI Number for RICHARD EDWARD JR. RODENBERG (MD) is 1205811932

Main info

Male

28 Years Of Experience

Accepts Medicare Assignment

Name

RICHARD EDWARD JR. RODENBERG (MD)

NPI

1205811932

Phone

(614) 355-6000

Address

700 CHILDRENS DR

Enumeration Date

15 December 2005

Last Update Date

12 March 2026

Doctor Profile

Medical School Name

UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE

Secondary Phone

6146889220

Graduation Year

1998 (28 years ago)

PAC ID

2860392990

Group Practice PAC ID

7517103955

Professional Enrollment ID

I20050901000163

Address ID

OH430267752HI3691XDRXX400

Telehealth

Yes

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience74

Completeness85

Years active:20State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for RICHARD EDWARD JR. RODENBERG (MD)

Nationwide Children's Hospital, 700, Children's Drive, Livingston Park, Columbus, Franklin, Ohio, 43205, United States
COLUMBUS, OH 432052664
Phone: (614) 355-6000
Type: Mailing
5070 N High St
Columbus, OH 432141526
Phone: (614) 722-6200
Type: Location
433 N Cleveland Ave
Westerville, OH 430828095
Phone: (614) 722-6200
Type: Location
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-5123
Fax: (614) 293-4890
Type: Mailing
1405 S HIGH ST
COLUMBUS, OH 432071043
Phone: (614) 722-6200
Type: Location
380 Butterfly Gardens Dr
Columbus, OH 432157508
Phone: (614) 722-6200
Type: Location
1405 S High St
Columbus, OH 432071043
Phone: (614) 722-6200
Type: Location
1777 E Dublin Granville Rd
Columbus, OH 432293502
Phone: (614) 722-6200
Type: Location
4766 W Broad St
Columbus, OH 432281613
Phone: (614) 722-6200
Type: Location
1390 Cleveland Ave
Columbus, OH 432112767
Phone: (614) 722-6200
Type: Location
1125 E Main St
Columbus, OH 432051931
Phone: (614) 722-6200
Type: Location
3553 Cleveland Ave
Columbus, OH 432242909
Phone: (614) 722-6200
Type: Location
4560 Morse Centre Rd
Columbus, OH 432296602
Phone: (614) 722-6200
Type: Location
1657 Georgesville Square Dr
Columbus, OH 432283689
Phone: (614) 722-2000
Type: Location
882 S Hamilton Rd
Columbus, OH 432133003
Phone: (614) 722-2000
Type: Location
26 Hospital Dr
Athens, OH 457012471
Phone: (614) 722-2000
Type: Location
441 Industrial Mile Rd
Columbus, OH 432282458
Phone: (614) 722-6200
Type: Location
561 S Yearling Rd
Columbus, OH 432132894
Phone: (614) 722-6200
Type: Location
2857 W Broad St
Columbus, OH 432042643
Phone: (614) 722-6200
Type: Location
3691 Ridge Mill Dr
Hilliard, OH 430267752
Phone: (614) 293-5123
Fax: (614) 293-4890
Type: Location
2599 S Hamilton Rd
Columbus, OH 432324964
Phone: (614) 722-6200
Type: Location
5680 VENTURE DR
DUBLIN, OH 430172190
Phone: (614) 355-6000
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20050901000163	I	Internal Medicine	OH	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7517103955View full group profile

Name	Specialty	State
WHITNEY C. KHAIRA (PA-C)	Physician Assistant	OH
SHARON ELIZABETH JORGENSON (PA-C)	Physician Assistant	OH
ANNA R DOUBENI (MD)	Family Practice	PA
MARK TROYER (M.D.)	Internal Medicine	OH
MRS. JENNIFER LYNN BROCKMEYER (CNP)	Nurse Practitioner	OH
DR. DHANU R BHAT (MD)	Internal Medicine	OH
DIEGO ARMANDO VALDEZ (APRN-CNP)	Nurse Practitioner	OH
DR. ERIN ELIZABETH MCCONNELL (MD)	Pediatric Medicine, Internal Medicine	OH
BARBARA J. STEFANINI (PA-C)	Physician Assistant	OH
DR. ANDREW GLEN KEASTER	Internal Medicine	OH

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Frequently asked questions

How do I look up RICHARD EDWARD JR. RODENBERG (MD) by NPI?

Use NPI 1205811932 when you need to reference RICHARD EDWARD JR. RODENBERG (MD) in forms, claims, or directories.

Is RICHARD EDWARD JR. RODENBERG (MD)'s enrollment marked active?

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Can you summarize RICHARD EDWARD JR. RODENBERG (MD)'s specialty in plain language?

Clinically, the directory lists RICHARD EDWARD JR. RODENBERG (MD) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.

What location shows for RICHARD EDWARD JR. RODENBERG (MD)?

We surface Columbus, Ohio for RICHARD EDWARD JR. RODENBERG (MD) based on available NPPES addresses.

What if Columbus, Ohio seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.