Individual provider Active NPI

Peter Rothstein, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Saint Louis, MO
National Provider Identifier
1598183543
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
2023013602 Issued in MO
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925000428 MO Practitioner - Cardiac Electrophysiology 2163641515 Reassigns benefits to 1 organization

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
Mercy Clinic Heart and Vascular LLCGroup PAC ID 8820016207, 112 clinicians

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

ProcedureNumber of procedures
Pacemaker insertion or repair31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Heart and Vascular, LLC CurrentSince Sep 1, 2023 Accepting new patients
Saint Luke's Physician Group Inc Internal Medicine Past Accepting new patients
Philippe G Lopez MD PC PastSince Jun 16, 2024 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.