Courtney M Rotondi

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.004871 Issued in IL

Practice address

5301 Keystone CT
Rolling Meadows, IL 60008-3811

Phone

(847) 392-5440

Fax

(847) 385-0294

NPI assigned

Mar 1, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arlington Dermatology SCGroup PAC ID 8628010550, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Arlington Dermatology SC

  • Dermatology Physician
  • Rolling Meadows, IL
  • NPI 1689692386
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1114342045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 KEYSTONE CT",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083811",
            "telephone_number": "847-392-5440",
            "fax_number": "847-385-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 KEYSTONE CT",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083811",
            "telephone_number": "847-392-5440",
            "fax_number": "847-385-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTONDI",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-01",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Romo, APN-CNP
• Manuel Francisco Rosado, MD
• Natalia Rosca
• Rachel Rosenblatt
• Diana M Rothermel, PSY.D.
• Ruhi Askari M.D.,S.C
• Saf-T Drugs LLC
• Kristen Marie Sako, COTA/L
• Sam'S Club Optical
• Anna Sarenac, LCSW

• Physician Assistant in Rolling Meadows, IL
• Providers in Rolling Meadows, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.