Individual provider Active NPI

John Anthony Rotondo, MD

  • Emergency Medicine Physician
  • Rockledge, FL
National Provider Identifier
1295222776
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4351028317 Issued in MI
Practice address
110 Longwood Ave
Rockledge, FL 32955-2828
Phone
(321) 636-2211
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME149211 FL
Emergency Medicine Physician 207P00000X 4351028317 MI Primary

Addresses

Primary practice location

110 Longwood Ave
Rockledge, FL 32955-2828

Mailing address

110 Longwood Ave
Rockledge, FL 32955-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20220922002497 MI Practitioner - Emergency Medicine 2769738137 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity - Michigan Em PCGroup PAC ID 8022414010, 51 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

Hospital & facility affiliations

  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4351028317MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Apr 25, 2023 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Vituity - Michigan Em PC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
McLaren Medical Group Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
McLaren Medical Group CurrentSince Aug 15, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1295222776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LONGWOOD AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONGWOOD AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552828",
            "telephone_number": "321-636-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTONDO",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME149211",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4351028317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.