Individual provider Active NPI

Rodger Rothenberger, MD

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1407882467
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME136062 Issued in FL
Practice address
13305 N 56TH St
Tampa, FL 33617-1161
Phone
(813) 988-1101
Fax
(813) 989-3899
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME136062 FL Primary

Addresses

Primary practice location

13305 N 56TH St
Tampa, FL 33617-1161

Mailing address

PO Box 850001, Dept 8340
Orlando, FL 32885-0001
Phone (813) 536-7277

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rodger.rothenberger@mcmgfl.eclinicaldirectplus.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180525001942 FL Practitioner - Family Practice 2961306667 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136062FLMDFamily Medicine Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Pritesh & Tarak P a CurrentSince Dec 1, 2021 Accepting new patients
Hernando Pasco Primary Care LLC Family Medicine CurrentSince Feb 1, 2023 Accepting new patients
Sunset Point Medical Associates Inc Family Medicine CurrentSince Jan 2, 2020 Accepting new patients
Independant Ipa,LLC Past Accepting new patients

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

18928 N Dale Mabry Hwy
Ste 101
Lutz, FL 33548
Phone (813) 909-1146

3820 Tampa Rd
Ste 202
Palm Harbor, FL 34684
Phone (727) 785-4540

8623 Regency Park Blvd
Port Richey, FL 34668
Phone (727) 842-9861

9550 US Highway 19
Ste 20
Port Richey, FL 34668
Phone (727) 310-0188

9545 Bay Pines Blvd
St Petersburg, FL 33708
Phone (727) 392-3939

13305 N 56th St
Tampa, FL 33617
Phone (813) 988-1101

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD
  • Direct secure messaging: rodger.rothenberger@mcmgfl.eclinicaldirectplus.com

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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hernando Pasco Primary Care LLC 88 clinicians

Practice addresses (Care Compare)

11373 Cortez Blvd
Brooksville, FL 34613-5405
Phone (352) 596-3032

13305 N 56TH St
Tampa, FL 33617-1161
Phone (813) 988-1101

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1407882467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001, DEPT 8340",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "813-536-7277",
            "fax_number": "855-830-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 N 56TH ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171161",
            "telephone_number": "813-988-1101",
            "fax_number": "813-989-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHENBERGER",
        "first_name": "RODGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME136062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rodger.rothenberger@mcmgfl.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "rodger.rothenberger@mcmgfl.eclinicaldirectplus.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13305 N 56th St",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336171161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.