Individual provider Active NPI

Robert James Rosenstein, DPM

  • Public Medicine Podiatrist
  • Mentor, OH
National Provider Identifier
1184614075
Registry record updated Oct 19, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Feb 18, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Public Medicine PodiatristTaxonomy code 213EP0504X
License
36001919R Issued in OH
Practice address
7230 Mentor Ave
Mentor, OH 44060
Phone
(440) 946-5858
Fax
(440) 918-4870
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Medicine Podiatrist 213EP0504X 36001919R OH Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 36001919R OH

Addresses

Primary practice location

7230 Mentor Ave
Mentor, OH 44060

Mailing address

7230 Mentor Ave
Mentor, OH 44060-5442
Phone (440) 946-5858

Other identifiers 1

IdentifierTypeStateIssuer
0464868MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1919OHMDClinical Child & Adolescent Psychologist
36001919ROHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foot and Ankle of Mentor Inc. PastSince Jul 13, 2014 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10129/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1184614075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605442",
            "telephone_number": "440-946-5858",
            "fax_number": "440-918-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-946-5858",
            "fax_number": "440-918-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENSTEIN",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP0504X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Public Medicine",
            "state": "OH",
            "license": "36001919R",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36001919R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464868",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.