Individual provider Active NPI

Vanessa Shana Rothholtz, M.D.

  • Otolaryngology Physician
  • Beverly Hills, CA
National Provider Identifier
1124299904
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A98964 Issued in CA
Practice address
414 N Camden Dr Ste 975
Beverly Hills, CA 90210-4541
Phone
(310) 926-1573
Fax
(310) 926-1563
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A98964 CA Primary

Addresses

Primary practice location

414 N Camden Dr Ste 975
Beverly Hills, CA 90210-4541

Mailing address

414 N Camden Dr Ste 975
Beverly Hills, CA 90210-4541
Phone (310) 201-0717

Other practice location 1

9461 Charleville Blvd Ste 451
Beverly Hills, CA 90212-3017
Phone (310) 926-1573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120629000217 CA Practitioner - Otolaryngology 8820253651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

414 N Camden Dr
Suite 975
Beverly Hills, CA 90210-4541
Phone (310) 926-1573

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Cedar-Sinai Marina del Rey Hospital Hospital, Marina del Rey, CA, CCN 050740

Merit-based Incentive Payment System (MIPS)

Final score
67.27 of 100Reported as individual
Quality
46.48
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98964CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa Shana Rothholtz MD Inc Otolaryngology CurrentSince Feb 16, 2014 Accepting new patients

Locations

9461 Charleville Blvd
Beverly Hills, CA 90212
Phone (301) 265-5922

414 N Camden Dr
Ste 975
Beverly Hills, CA 90210
Phone (310) 247-0344

2080 Century Park E
Ste 1700
Los Angeles, CA 90067
Phone (310) 201-0007

Interoperability endpoints

  • Direct secure messaging: vanessa.rothholtz.1@13612.direct.athenahealth.com

Organizations & group practices 1

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 3

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1124299904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR STE 975",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104541",
            "telephone_number": "310-201-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR STE 975",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104541",
            "telephone_number": "310-926-1573",
            "fax_number": "310-926-1563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9461 Charleville Blvd Ste 451",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902123017",
            "country_code": "US",
            "telephone_number": "310-926-1573",
            "fax_number": "310-926-1563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHHOLTZ",
        "first_name": "VANESSA",
        "middle_name": "SHANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A98964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.