Active NPI
Robert James Rosenstein, DPM
- Public Medicine Podiatrist
- Mentor, OH
National Provider Identifier
1184614075
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.
Key facts
NPPES NPI Registry- Primary specialty
- Public Medicine Podiatrist
- License
- 36001919R
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0464868 | Medicaid | OH |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1919 | OH | MD | Clinical Child & Adolescent Psychologist |
| 36001919R | OH | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foot and Ankle of Mentor Inc. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Podiatrist
- Mentor, OH
- NPI 1548677917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.