Active NPI
Alan S. Rothstein, D.P.M.
- Podiatrist
- Northbrook, IL
National Provider Identifier
1235120452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000448
- Practice address
- 425 Huehl Rd Unit 13
Northbrook, IL 60062-2319 - Phone
- (847) 504-5000
- Fax
- (844) 443-0082
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000448 | GA | Primary |
Addresses
Primary practice location
425 Huehl Rd Unit 13
Northbrook, IL 60062-2319
Mailing address
425 Huehl Rd Unit 13
Northbrook, IL 60062-2319
Phone (847) 504-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 583250 | Other | FL | AETNA ID (HMO) |
| 000159167A | Medicaid | GA | |
| 144651 | Other | GA | BLUE CROSS/BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000448 | GA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windy Hill Podiatry Associates, P.C. | Past | Accepting new patients |
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.
-
- Podiatric Clinic/Center
- Atlanta, GA
- NPI 1730258062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1235120452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 HUEHL RD UNIT 13",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622319",
"telephone_number": "847-504-5000",
"fax_number": "844-443-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 HUEHL RD UNIT 13",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622319",
"telephone_number": "847-504-5000",
"fax_number": "844-443-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHSTEIN",
"first_name": "ALAN",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "000448",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID (HMO)",
"identifier": "583250",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000159167A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "144651",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.