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Deactivated NPI 1649285073 Deactivated / Inactive NPI Male Practitioner

Dr. John Charles Redenius , DPM

Pediatrics • Waterloo, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Redenius has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 31, 2006
NPI Deactivation Date September 09, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Redenius, DPM was a registered Pediatrics practicing in Waterloo, IA. Throughout an active medical career spanning 15 years, Dr. Redenius provided care at the practice location at 123 PLAZA CIRCLE until profile deactivation on 2021-09-09.

Historical Medicare Part B clinical services included removal of fingernails or toenails, removal of single thickened skin growth, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

123 Plaza Circle

Waterloo, IA 507015197

Telephone 3192360564
Fax 3192360564

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Waterloo, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.5 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Waterloo, IA (522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
18.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
143 98 $46.15 $39.81
11721 Removal of fingernails or toenails, 6 or more nails
19 19 $38.11 $22.58
11055 Removal of single thickened skin growth
14 12 $25.43 $24.75
99202 New patient office or other outpatient visit, typically 20 minutes
11 11 $15.10 $14.91

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IA 322

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 09, 2021

Record deactivated on September 09, 2021

NPI Profile Active December 05, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 05, 2007

Registered at 123 PLAZA CIRCLE, WATERLOO, IA 507015197 (Tel: 3192360564)

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Updated Business Mailing Address December 05, 2007

Registered at 123 PLAZA CIRCLE, WATERLOO, IA 507015197 (Tel: 3192360564)

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Provider Name / Credentials Updated December 05, 2007

Recorded as JOHN REDENIUS, DPM

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2007

Pediatrics (License #322 in IA)

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Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649285073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: December 05, 2007
Deactivation Date: September 09, 2021

Mailing Address

123 Plaza Circle

Waterloo, IA 507015197

Phone: 3192360564

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.