Active NPI
Peter Rothstein, M.D.
- Clinical Cardiac Electrophysiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 2023013602
- Practice address
- 10012 Kennerly Rd Ste 300
Saint Louis, MO 63128-2197 - Phone
- (314) 692-2807
- NPI assigned
- Apr 6, 2014
- Last updated
- Jul 15, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 2023013602 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd Ste 300
Saint Louis, MO 63128-2197
Mailing address
10012 Kennerly Rd Ste 300
Saint Louis, MO 63128-2197
Phone (314) 692-2807
Other practice location 1
10012 Kennerly Rd Ste 202
Saint Louis, MO 63128-2197
Phone (314) 692-2807
Other practice location 2
7345 Watson Rd # Ll1
Saint Louis, MO 63119-9804
Phone (314) 692-2807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Saint Louis University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10012 Kennerly Rd
Suite 202
Saint Louis, MO 63128-2197
Phone (314) 692-2807
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Heart and Vascular, LLC | Current | Accepting new patients | |
| Saint Luke's Physician Group Inc | Internal Medicine | Past | Accepting new patients |
| Philippe G Lopez MD PC | Past | Accepting new patients |
Locations
1001 S Kirkwood Rd
Ste 310
Saint Louis, MO 63122
Phone (314) 692-2807
10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807
10012 Kennerly Rd
Ste 300
Saint Louis, MO 63128
Phone (314) 842-0602
625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775
7345 Watson Rd
#1
Saint Louis, MO 63119
Phone (314) 692-2807
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1932176401
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
Internal Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Greenwood Village, CO
- NPI 1871526897
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1598183543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-692-2807",
"fax_number": "314-991-0727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-692-2807"
}
],
"practiceLocations": [
{
"address_1": "10012 Kennerly Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282197",
"country_code": "US",
"telephone_number": "314-692-2807",
"fax_number": "314-991-0727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7345 Watson Rd # Ll1",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631199804",
"country_code": "US",
"telephone_number": "314-692-2807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTHSTEIN",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-06",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MO",
"license": "2023013602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.