Individual provider Active NPI

Jacob Todd Rothfuss, PA

  • Physician Assistant
  • Asheboro, NC
National Provider Identifier
1073332631
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14703 Issued in NC
Practice address
1319 Spero Rd
Asheboro, NC 27205
Phone
(336) 890-4970
Fax
(336) 890-4963
NPI assigned
Oct 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0010-14703 NC
Physician Assistant 363A00000X 0010-14703 NC Primary

Addresses

Primary practice location

1319 Spero Rd
Asheboro, NC 27205

Mailing address

300 E Wendover Ave
Greensboro, NC 27401-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106001247 NC Practitioner - Physician Assistant 0648704122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1123 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-4400

1125 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-8035

1131 CN Church St
Greensboro, NC 27401-1007
Phone (336) 832-7867

1319 Spero Rd
Asheboro, NC 27205-3144

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-14703NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Feb 1, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince Nov 18, 2024 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Feb 1, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Nov 18, 2024 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1319 Spero Rd
Ste 100C
Asheboro, NC 27205
Phone (336) 890-4970

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

Organizations & group practices 6

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 1

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": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1073332631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011229",
            "fax_number": "336-890-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SPERO RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "27205",
            "telephone_number": "336-890-4970",
            "fax_number": "336-890-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHFUSS",
        "first_name": "JACOB",
        "middle_name": "TODD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-14703",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.