Active NPI
Paul D Rotolo, MD
- Vascular & Interventional Radiology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- ME126446
- Practice address
- 8900 N Kendall Dr
McVi
Miami, FL 33176-2118 - Phone
- (786) 596-5992
- NPI assigned
- Jun 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | ME126446 | FL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD454353 | PA |
Addresses
Primary practice location
8900 N Kendall Dr
McVi
Miami, FL 33176-2118
Mailing address
8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-5992
Other practice location 1
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 549-0677
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019308700 | Medicaid | FL | |
| 103011341 | Medicaid | PA | |
| LP841 | Other | FL | FL MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126446 | FL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Outpatient Services Inc | Current | Accepting new patients | |
| Health First Medical Group, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of South Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Outpatient Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
Locations (25 of 28)
701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966
800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100
1905 Clint Moore Rd
Ste 119
Boca Raton, FL 33496
1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341
1500 NW 10th Ave
Ste 205
Boca Raton, FL 33486
Phone (561) 391-1085
1500 NW 10th Ave
Ste 103
Boca Raton, FL 33486
Phone (561) 368-2321
690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020
1979 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 420-0100
16313 S Military Trl
Delray Beach, FL 33484
Phone (561) 637-7200
975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000
1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200
9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000
14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600
5000 University Dr
Miami, FL 33146
Phone (305) 666-2111
8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575
6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000
4525 Thomasson Dr
Naples, FL 34112
Phone (239) 348-4421
Interoperability endpoints
- protolo71593@epicdirect.hf.org
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Diagnostic Radiology
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1437127529
-
- Diagnostic Radiology Physician
- Longview, TX
- NPI 1699759183
FL
-
dba Baptist Health Infusion Care Pharmacy
- Home Infusion Therapy Pharmacy
- Miami Lakes, FL
- NPI 1316662299
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584057600000",
"number": "1386964047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 N KENDALL DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762118",
"telephone_number": "786-596-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 N KENDALL DR",
"address_2": "MCVI",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762118",
"telephone_number": "786-596-5992"
}
],
"practiceLocations": [
{
"address_1": "1223 Gateway Dr",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329012607",
"country_code": "US",
"telephone_number": "321-549-0677",
"fax_number": "321-722-2432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTOLO",
"first_name": "PAUL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-04",
"last_updated": "2020-03-13",
"certification_date": "2020-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME126446",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD454353",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019308700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103011341",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "LP841",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.