Mark F Rottenberg, MD

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

MR042031 Issued in MI

Practice address

28300 Orchard Lake Rd
Suite 103
Farmington Hills, MI 48334-3704

Phone

(248) 538-4900

Fax

(248) 538-4949

NPI assigned

Dec 5, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396729232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28300 ORCHARD LAKE RD",
            "address_2": "SUITE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "78334",
            "telephone_number": "248-538-4900",
            "fax_number": "248-538-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28300 ORCHARD LAKE RD",
            "address_2": "SUITE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343704",
            "telephone_number": "248-538-4900",
            "fax_number": "248-538-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTENBERG",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "MI",
            "license": "MR042031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10040231",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Rothstein, M.D.
• Vanessa Rothweiler
• Kristine Rothwell
• Tyler Rotolo Gray
• Sann Rotsaert, RD
• Kourtnie Roubison
• Diane Rouge
• Alyssa Rouhier
• Jazmyn Rountree
• Stephanie Rountree

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.