Individual provider Active NPI

Eric Scott Rothenberg, MD

  • Plastic Surgery Physician
  • Pasadena, TX
National Provider Identifier
1063528602
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
J1029 Issued in TX
Practice address
4500 E Sam Houston Pkwy S
Suite 102
Pasadena, TX 77505-3959
Phone
(281) 998-9000
Fax
(281) 998-8001
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X J1029 TX Primary

Addresses

Primary practice location

4500 E Sam Houston Pkwy S
Suite 102
Pasadena, TX 77505-3959

Mailing address

4500 E Sam Houston Pkwy S
Suite 102
Pasadena, TX 77505-3959
Phone (281) 998-9000

Other identifiers 1

IdentifierTypeStateIssuer
033734701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110505000162 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 4981787793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
New York Medical College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5150 Crenshaw Rd
Suite G 120
Pasadena, TX 77505-3094
Phone (281) 998-9000

Hospital & facility affiliations

  • St Luke'S Patients Medical Center Hospital, Pasadena, TX, CCN 670031
  • Kindred Hospital Clear Lake Long-term care hospital, Webster, TX, CCN 452075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue31
Removal of skin lesions1-10
Skin biopsy16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

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 2

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1063528602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E SAM HOUSTON PKWY S",
            "address_2": "SUITE 102",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053959",
            "telephone_number": "281-998-9000",
            "fax_number": "281-998-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E SAM HOUSTON PKWY S",
            "address_2": "SUITE 102",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053959",
            "telephone_number": "281-998-9000",
            "fax_number": "281-998-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERG",
        "first_name": "ERIC",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "J1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033734701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.