Individual provider Active NPI

Melvin J Rothberger, MD

  • Ophthalmology Physician
  • Brooklyn, NY
National Provider Identifier
1124017512
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD1244761 Issued in NY
Practice address
575 Kings Hwy
Brooklyn, NY 11223-2046
Phone
(718) 375-6300
Fax
(718) 375-6331
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD1244761 NY Primary

Addresses

Primary practice location

575 Kings Hwy
Brooklyn, NY 11223-2046

Mailing address

575 Kings Hwy
Brooklyn, NY 11223-2046
Phone (718) 375-6300

Other identifiers 1

IdentifierTypeStateIssuer
00271027MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080707000519 NY Practitioner - Ophthalmology 0345262473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

575 Kings Hwy
Brooklyn, NY 11223-2047
Phone (718) 375-6300

Merit-based Incentive Payment System (MIPS)

Final score
62.61 of 100Reported as individual
Quality
74.03
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD1244761NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Melvin Rothberger MD LLC Ophthalmology Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1124017512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232046",
            "telephone_number": "718-375-6300",
            "fax_number": "718-375-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232046",
            "telephone_number": "718-375-6300",
            "fax_number": "718-375-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHBERGER",
        "first_name": "MELVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "MD1244761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00271027",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.