Brian William Rothlisberger, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A92549 Issued in CA

Practice address

1524 Eureka Rd
Ste 100
Roseville, CA 95661-2850

Phone

(916) 783-7696

Fax

(916) 783-4199

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Ophthalmology

Education

Virginia Commonwealth University, School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gabriel Jacob MD a Medical CorporationGroup PAC ID 7416196928, 7 clinicians

Griffin and Reed a Medical CorporationGroup PAC ID 7911947445, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brothlisberger45496@hisp.ehr.sutterhealth.org

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.

• Gabriel Jacob MD, a Medical Corporation

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1801139175
  Medicare reassignment Care Compare group
• Griffin & Reed a Medical Corporation

  • Corneal and Contact Management Optometrist
  • Sacramento, CA
  • NPI 1487707667
  Care Compare group
• Paris E. Royo, MD Inc

  • Ophthalmology Physician
  • Sacramento, CA
  • NPI 1689755498
  NPD (past)
• Sutter North Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1609893338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 EUREKA RD",
            "address_2": "STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612850",
            "telephone_number": "916-783-7696",
            "fax_number": "916-783-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 EUREKA RD",
            "address_2": "STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612850",
            "telephone_number": "916-783-7696",
            "fax_number": "916-783-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHLISBERGER",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A92549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Hoffman Rotas, MD
• Nicholas William Rotas, DDS
• Anthony Tyler Roth
• Autumn Renee Roth
• Sophia Rose Rothenberg, BA
• Abigail Rose Rothschild
• Katie Lynn Oliver Rott, MSN, RNC-NIC, CNS
• Michelle Roundtree-Puetz
• Jessica Rountree
• Michelle Yvonne Roush, LMFT

• Ophthalmology Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.

Verify at the official NPI Registry.