Active NPI
Brian Rotskoff
- Allergy Physician
- Chicago, IL
National Provider Identifier
1285662304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 036-102370
- Practice address
- 4801 W Peterson Ave
Suite 306
Chicago, IL 60646-5713 - Phone
- (773) 877-3500
- Fax
- (888) 228-2622
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 036-102370 | IL | Primary |
Addresses
Primary practice location
4801 W Peterson Ave
Suite 306
Chicago, IL 60646-5713
Mailing address
4801 W Peterson Ave
Suite 306
Chicago, IL 60646-5713
Phone (773) 877-3500
Other names 1
- Dr. Brian Rotskoff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040119000099 | IL | Practitioner - Allergy/Immunology | 7810898277 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-102370 | IL | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexian Brothers Medical Group Specialty Care | Past | Accepting new patients | |
| Advanced Allergy & Asthma Associates SC | Past | Accepting new patients | |
| Skokie Emergency Services, LLC | Past | Accepting new patients | |
| Advanced Allergists LTD. | Allergy | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Allergy Physician
- Hoffman Estates, IL
- NPI 1093741712
-
- Medical Specialty Clinic/Center
- Crystal Lake, IL
- NPI 1629122403
-
- Specialist
- Elk Grove Village, IL
- NPI 1275990061
-
- Physician Assistant
- Skokie, IL
- NPI 1750349494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1285662304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W PETERSON AVE",
"address_2": "SUITE 306",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465713",
"telephone_number": "773-877-3500",
"fax_number": "888-228-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 W PETERSON AVE",
"address_2": "SUITE 306",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465713",
"telephone_number": "773-877-3500",
"fax_number": "888-228-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTSKOFF",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "IL",
"license": "036-102370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIAN",
"last_name": "ROTSKOFF",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.