Christopher R Rothrock, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

2003010405 Issued in MO

Practice address

969 N Mason Rd
Dept Orthopaedic Surgery, Ste 230
Saint Louis, MO 63141-6282

Phone

(314) 514-3500

Fax

(314) 878-7678

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 1, 2014 through Nov 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mason Ridge Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Saint Louis, MO
  • NPI 1396796595
  NPD (past) Authorized official
• St Louis Orthopedic Institute Inc

  • Orthopaedic Surgery Physician
  • St Louis, MO
  • NPI 1881707644
  NPD

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1215923370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-514-3500",
            "fax_number": "314-878-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 N MASON RD",
            "address_2": "DEPT ORTHOPAEDIC SURGERY, STE 230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416282",
            "telephone_number": "314-514-3500",
            "fax_number": "314-878-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHROCK",
        "first_name": "CHRISTOPHER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2025-04-17",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MO",
            "license": "2003010405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200146468",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "969 N Mason Rd",
            "address_2": "Dept Orthopaedic Surgery, Ste 230",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Toni Clara Roth, MD
• Daniel H Rothermich, DMD
• Julia Christine Rothermich, MA, LPC
• Maria Catherine Rothhaar, PHD
• Steven Mark Rothman, MD
• Marcos Rothstein, MD
• Peter Rothstein, M.D.
• Jeffrey H Rothweiler, PH.D.
• Sophia Ann Rotman
• Kenneth S Rotskoff, MD,DDS

• Sports Medicine (Orthopaedic Surgery) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.