Individual provider Active NPI

Roy A Rothman, DPM

  • Podiatrist
  • Debary, FL
National Provider Identifier
1679550016
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-2059 Issued in FL
Practice address
2836 Enterprise Rd
Suite 2
Debary, FL 32713-5210
Phone
(386) 753-1918
Fax
(386) 753-1902
NPI assigned
Dec 28, 2005
Last updated
Jan 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO-2059 FL Primary

Addresses

Primary practice location

2836 Enterprise Rd
Suite 2
Debary, FL 32713-5210

Mailing address

2836 Enterprise Rd
Suite 2
Debary, FL 32713-5210
Phone (386) 753-1918

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100716000676 FL Practitioner - PodiatryPractitioner - Other (Physician) 4789774746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2836 Enterprise Rd
Suite 2
Debary, FL 32713-5210
Phone (386) 753-1918

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.02 of 100Reported as individual
Quality
74.97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue206
Removal of skin lesions1-10
Removal of nail tissue836
Removal or shaving of skin growth573
Skin biopsy20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-2059FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roy a Rothman DPM, PA Podiatrist CurrentSince Mar 24, 2010 Accepting new patients
Atlantic Podiatry Associates DPM PA PastSince Mar 24, 2010 Accepting new patients

Locations

2836 Enterprise Rd
Ste 2
Debary, FL 32713
Phone (386) 753-1918

Organizations & group practices 2

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 4

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1679550016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 ENTERPRISE RD",
            "address_2": "SUITE 2",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327135210",
            "telephone_number": "386-753-1918",
            "fax_number": "386-753-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 ENTERPRISE RD",
            "address_2": "SUITE 2",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327135210",
            "telephone_number": "386-753-1918",
            "fax_number": "386-753-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "ROY",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO-2059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

Verify at the official NPI Registry.