Active NPI
Deanna Rothman, MD
- Surgery Physician
- Durham, NC
National Provider Identifier
1073073474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2026-04203
- Practice address
- 3643 N Roxboro St
Durham, NC 27704-2702 - Phone
- (786) 853-1496
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2026-04203 | NC | Primary |
Addresses
Primary practice location
3643 N Roxboro St
Durham, NC 27704-2702
Mailing address
4509 Bracada Dr
Durham, NC 27705-1652
Phone (786) 853-1496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1073073474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4509 BRACADA DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277051652",
"telephone_number": "786-853-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3643 N ROXBORO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042702",
"telephone_number": "786-853-1496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHMAN",
"first_name": "DEANNA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-21",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2026-04203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.