Douglas Wayne Rothrock, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

26235 Issued in AZ

Practice address

242 Whipple St
Prescott, AZ 86301-1787

Phone

(928) 708-9355

NPI assigned

Jun 7, 2006

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Oregon Health Sciences University School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ponderosa Heart House CallGroup PAC ID 5890112429, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Merit-based Incentive Payment System (MIPS)

Final score

91.9 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

72.99

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

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.

• Heart Shop, LLC

  • Cardiovascular Disease Physician
  • Prescott, AZ
  • NPI 1558997742
  Medicare reassignment NPD Authorized official
• Ponderosa Heart House Call

  • Cardiovascular Disease Physician
  • Gilbert, AZ
  • NPI 1073131561
  Medicare reassignment Care Compare group NPD
• Yavapai Community Hospital Association

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Medicare reassignment NPD
• Vascular Imaging Solutions LLC

  • Diagnostic Ultrasound Physician
  • Surprise, AZ
  • NPI 1104332147
  NPD
• Yavapai Pathology Associates PLC

  • Anatomic Pathology Physician
  • Prescott, AZ
  • NPI 1841234184
  NPD
• Yrmc Hospice

  • Community Based Hospice Care Agency
  • Prescott Valley, AZ
  • NPI 1467409219
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yavapai Community Hospital Association

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1265472138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WHIPPLE ST STE 1",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011789",
            "telephone_number": "928-708-9355",
            "fax_number": "928-778-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WHIPPLE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011787",
            "telephone_number": "928-708-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Ainsworth Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011624",
            "country_code": "US",
            "telephone_number": "928-776-0601",
            "fax_number": "928-776-0620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTHROCK",
        "first_name": "DOUGLAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "26235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438780",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.