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Dr. Dalton Mark Renick , DO

Pediatrics β€’ Roanoke, VA

Active NPI 1174013932 Individual Practitioner Male Practitioner
Practice location in NPPES

4040 Postal Dr
Roanoke, VA 240186438

Call 5407724453 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4040 Postal Dr

Roanoke, VA 240186438

Telephone 5407724453
Fax 5407724717
Organization at the Same NPPES Address or Phone
Carilion Rockbridge Community Hospital Facility NPI 1003809179

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2024

All general payments: $40.15 across 2 records.

By nature of payment

  • Food and Beverage: $40.15 across 2 records.

Reporting-company totals

  • Merck Sharp & Dohme LLC: $40.15 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Roanoke and Virginia

72 active clinicians are listed under Pediatrics with a practice address in Roanoke, VA (2,002 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Roanoke

0% of these 72 clinicians have the CMS telehealth indicator.

6.9% of these 72 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $40.15.

Manufacturer Payment Nature Product Type Amount ($)
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
VAXNEUVANCE General $21.21
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
GARDASIL General $18.94

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-18
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES VA 0102206530

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES SC LL51961

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address August 18, 2022

Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713 (Tel: 5402245715)

πŸ“
Updated Practice Location November 10, 2021

Registered at 4040 POSTAL DR, ROANOKE, VA 240186438 (Tel: 5407724453)

βœ…
NPI Profile Active May 16, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 16, 2018

Registered at PEDIATTRIC OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400, COLUMBIA, SC 29203 (Tel: 8034346155)

πŸ“
Business Mailing Address (Initial Record) May 16, 2018

Registered at PEDIATTRIC OUTPATIENT CENTER, 14 MEDICAL PARK, STE 400, COLUMBIA, SC 29203 (Tel: 8034346155)

πŸ‘€
Provider Name / Credentials (Initial Record) May 16, 2018

Recorded as DALTON RENICK, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2018

Pediatrics (license number reported to NPPES: SC LL51961)

🟒
Initial NPI Registration & Enumeration May 16, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174013932
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2018
Last Update: August 18, 2022
Sole Proprietor: No

Other Pediatrics Specialists in Roanoke

Healthcare providers in Roanoke

Mailing Address

213 S Jefferson St Ste 1006

Roanoke, VA 240111713

Phone: 5402245715

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.