Individual provider Active NPI

Adam Michael Rotunda, MD

  • MOHS-Micrographic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1457469371
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A81640 Issued in CA
Practice address
1100 Quail St
Suite 102
Newport Beach, CA 92660-2701
Phone
(949) 336-7171
Fax
(949) 336-7172
NPI assigned
Aug 29, 2006
Last updated
May 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A81640 CA
Dermatology Physician 207N00000X A81640 CA
MOHS-Micrographic Surgery Physician 207ND0101X A81640 CA Primary

Addresses

Primary practice location

1100 Quail St
Suite 102
Newport Beach, CA 92660-2701

Mailing address

50 Townsend
Irvine, CA 92620-2820
Phone (949) 336-7288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070521000552 CA Practitioner - Dermatology 7113024472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Quail St
Suite 102
Newport Beach, CA 92660-2702
Phone (949) 336-7171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.15 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
57.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision586
Removal of tissue1-10
Removal of skin lesions1-10
Removal of skin cancer1761
Removal of nail tissue12
Removal or shaving of skin growth1-10
Skin biopsy68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81640CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Adam M. Rotunda, M.D., a Professional Corporation Mohs-Micrographic Surgery CurrentSince Nov 21, 2008 Accepting new patients

Locations

1100 Quail St
Ste 102
Newport Beach, CA 92660
Phone (949) 336-7171

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1457469371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TOWNSEND",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202820",
            "telephone_number": "949-336-7288",
            "fax_number": "949-336-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 QUAIL ST",
            "address_2": "SUITE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602701",
            "telephone_number": "949-336-7171",
            "fax_number": "949-336-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTUNDA",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A81640",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A81640",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A81640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.