Active NPI
Michael H Rotstein, DPM
- Foot & Ankle Surgery Podiatrist
- Ocala, FL
National Provider Identifier
1477539419
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 20, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO0002144
- Practice address
- 2135 SW 19TH Avenue Rd
Suite #104
Ocala, FL 34471-7874 - Phone
- (352) 867-1155
- Fax
- (352) 867-7030
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO0002144 | FL | Primary |
Addresses
Primary practice location
2135 SW 19TH Avenue Rd
Suite #104
Ocala, FL 34471-7874
Mailing address
2135 SW 19TH Avenue Rd
Suite #104
Ocala, FL 34474-0000
Phone (352) 867-1155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480011745 | Other | FL | RR MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO0002144 | FL | MD | Foot & Ankle Surgery Podiatrist |
| 2144 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1477539419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 SW 19TH AVENUE RD",
"address_2": "SUITE #104",
"city": "OCALA",
"state": "FL",
"postal_code": "344740000",
"telephone_number": "352-867-1155",
"fax_number": "352-867-7030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2135 SW 19TH AVENUE RD",
"address_2": "SUITE #104",
"city": "OCALA",
"state": "FL",
"postal_code": "344717874",
"telephone_number": "352-867-1155",
"fax_number": "352-867-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTSTEIN",
"first_name": "MICHAEL",
"middle_name": "H",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO0002144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE ID",
"identifier": "480011745",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.