Active NPI
Andrew R Rothstein, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Rancho Mirage, CA
National Provider Identifier
1619980455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E38020
- Practice address
- 69730 Highway 111
Suite 101
Rancho Mirage, CA 92270-2869 - Phone
- (760) 328-4669
- Fax
- (760) 328-6719
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E38020 | CA | Primary |
Addresses
Primary practice location
69730 Highway 111
Suite 101
Rancho Mirage, CA 92270-2869
Mailing address
69730 Highway 111
Suite 101
Rancho Mirage, CA 92270-2869
Phone (760) 328-4669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E38020 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
77734 Country Club Dr
Suite A2
Palm Desert, CA 92211-0454
Phone (760) 328-4669
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E38020 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Podiatry Group | Foot & Ankle Surgery | Current | Accepting new patients |
| Eisenhower Medical Center | Past | Accepting new patients | |
| Diagnostic Imaging Services | Past | Accepting new patients | |
| JFK Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
77734 Country Club Dr
Ste A2
Palm Desert, CA 92211
Phone (760) 328-4669
69730 Highway 111
Ste 101
Rancho Mirage, CA 92270
Phone (760) 328-4669
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Rancho Mirage, CA
- NPI 1336168517
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1619980455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69730 HIGHWAY 111",
"address_2": "SUITE 101",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702869",
"telephone_number": "760-328-4669",
"fax_number": "760-328-6719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69730 HIGHWAY 111",
"address_2": "SUITE 101",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702869",
"telephone_number": "760-328-4669",
"fax_number": "760-328-6719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHSTEIN",
"first_name": "ANDREW",
"middle_name": "R",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E38020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E38020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.