Active NPI
Joseph David Rotella, M.D.
- Internal Medicine Physician
- Louisville, KY
National Provider Identifier
1407952443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34987
- Practice address
- 3532 Ephraim McDowell Dr
Louisville, KY 40205-3224 - Phone
- (502) 719-4142
- Fax
- (502) 456-6655
- NPI assigned
- Sep 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34987 | KY | Primary |
| Internal Medicine Physician | 207R00000X | 01060120A | IN |
Addresses
Primary practice location
3532 Ephraim McDowell Dr
Louisville, KY 40205-3224
Mailing address
3532 Ephraim McDowell Dr
Louisville, KY 40205-3224
Phone (502) 719-4142
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200421560 | Medicaid | IN | |
| 6401223000 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20130517000113 | KY | Order and Referring Only - Hospice/Palliative Care | 8729038765 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34987 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hosparus Palliative Care Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Louisville, KY
- NPI 1639193113
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1407952443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3532 EPHRAIM MCDOWELL DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053224",
"telephone_number": "502-719-4142",
"fax_number": "502-456-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3532 EPHRAIM MCDOWELL DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053224",
"telephone_number": "502-719-4142",
"fax_number": "502-456-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTELLA",
"first_name": "JOSEPH",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "34987",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01060120A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200421560",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6401223000",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.