Individual provider Active NPI

Jonathan D Rotker, M.D.

  • Gastroenterology Physician
  • Smyrna, TN
National Provider Identifier
1073547402
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34194 Issued in TN
Practice address
300 Stonecrest Blvd Ste 110
Smyrna, TN 37167-5689
Phone
(615) 223-6606
Fax
(615) 223-6629
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34194 TN Primary

Addresses

Primary practice location

300 Stonecrest Blvd Ste 110
Smyrna, TN 37167-5689

Mailing address

300 Stonecrest Blvd Ste 110
Smyrna, TN 37167-5689
Phone (615) 223-6606

Other identifiers 1

IdentifierTypeStateIssuer
3725636MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040617001331 TN Practitioner - GastroenterologyPractitioner - Internal Medicine 5597748103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Albany Medical College of Union University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Specialists of Middle Tennessee LLCGroup PAC ID 7012088180, 8 clinicians

Practice addresses (Care Compare)

300 Stonecrest Blvd
Suite 110
Smyrna, TN 37167-5689
Phone (615) 223-6606

Hospital & facility affiliations

  • Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227

Merit-based Incentive Payment System (MIPS)

Final score
87.98 of 100Reported as group
Quality
95.05
Promoting interoperability
99
Improvement activities
40
Cost
65.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Upper gastrointestinal (GI) endoscopy for acid reflux26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34194TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Methodist Physicians LLC Gastroenterology CurrentSince Jun 17, 2024 Accepting new patients
Gastroenterology Consultants of Middle Tennessee, PLLC Gastroenterology PastSince Jun 12, 2004 Accepting new patients
Cardiology Group of Middle Tennessee PastSince Jan 1, 1990 Accepting new patients

Locations

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

1325 Eastmoreland Ave
Ste 310
Memphis, TN 38104
Phone (901) 272-6010

Interoperability endpoints

  • Direct secure messaging: jrotker68278@mlh.direct-ci.com

Organizations & group practices 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1073547402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 110",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675689",
            "telephone_number": "615-223-6606",
            "fax_number": "615-223-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 110",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675689",
            "telephone_number": "615-223-6606",
            "fax_number": "615-223-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTKER",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TN",
            "license": "34194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3725636",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

Verify at the official NPI Registry.