Individual provider Active NPI

Steven M Rotter, MD

  • MOHS-Micrographic Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1528044229
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME104496 Issued in FL
Practice address
500 S Australian Ave Ste 205
West Palm Beach, FL 33401-6235
Phone
(561) 561-7546
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME104496 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME104496 FL Primary

Addresses

Primary practice location

500 S Australian Ave Ste 205
West Palm Beach, FL 33401-6235

Mailing address

500 S Australian Ave Ste 205
West Palm Beach, FL 33401-6235
Phone (561) 561-7546

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
I20201109000072 FL Practitioner - Dermatology 6800882465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 S Australian Ave
Suite 205
West Palm Beach, FL 33401-6235
Phone (561) 561-7546

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision40
Removal of skin lesions152
Removal of skin cancer338
Removal or shaving of skin growth1-10
Skin biopsy46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME104496FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Exclusive Dermatology PLLC Dermatology CurrentSince Nov 22, 2023 Accepting new patients

Locations

500 S Australian Ave
Ste 205
West Palm Beach, FL 33401
Phone (561) 561-7546

Interoperability endpoints

  • Direct secure messaging: srotter@pbderm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1528044229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S AUSTRALIAN AVE STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016235",
            "telephone_number": "561-561-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S AUSTRALIAN AVE STE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016235",
            "telephone_number": "561-561-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTER",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME104496",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME104496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.