Individual provider Active NPI

Christopher Raymond Rotondo, PA-C

  • Internal Medicine Physician
  • Gotha, FL
National Provider Identifier
1528587243
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
PA9110619 Issued in FL
Practice address
3872 Old Winter Garden Rd
Suite 300
Gotha, FL 34734
Phone
(407) 578-6610
Fax
(407) 578-2247
NPI assigned
Sep 13, 2017
Sex
Male
Sole proprietor
No

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.

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260513001194 FL Order and Referring Only - Physician Assistant 4880128883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9110619FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark G Brooks M D P a Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christopher.rotondo@mgbmp-fl.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X PA9110619 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

3872 Old Winter Garden Rd
Suite 300
Gotha, FL 34734

Mailing address

3872 Old Winter Garden Rd
Suite 300
Gotha, FL 34734
Phone (407) 578-6610

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2026.

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1528587243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3872 OLD WINTER GARDEN RD",
            "address_2": "SUITE 300",
            "city": "GOTHA",
            "state": "FL",
            "postal_code": "34734",
            "telephone_number": "407-578-6610",
            "fax_number": "407-578-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3872 OLD WINTER GARDEN RD",
            "address_2": "SUITE 300",
            "city": "GOTHA",
            "state": "FL",
            "postal_code": "34734",
            "telephone_number": "407-578-6610",
            "fax_number": "407-578-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTONDO",
        "first_name": "CHRISTOPHER",
        "middle_name": "RAYMOND",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-13",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "PA9110619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gotha, FL

Sources for this page

Verify at the official NPI Registry.