Individual provider Active NPI

Michael H Rotstein, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ocala, FL
National Provider Identifier
1477539419
Registry record updated Mar 5, 2015
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO0002144 Issued in FL
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

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
480011745OtherFLRR 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. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PO0002144FLMDFoot & Ankle Surgery Podiatrist
2144FLMDAthletic 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

Verify at the official NPI Registry.