Individual provider Active NPI

Michael Rothkopf, M.D.

  • Cardiovascular Disease Physician
  • Irving, TX
National Provider Identifier
1689673576
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
E9371 Issued in TX
Practice address
1110 Cottonwood LN
Suite 105
Irving, TX 75038-6117
Phone
(972) 607-2525
Fax
(972) 252-8837
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X E9371 TX Primary

Addresses

Primary practice location

1110 Cottonwood LN
Suite 105
Irving, TX 75038-6117

Mailing address

1110 Cottonwood LN
Suite 105
Irving, TX 75038-6117
Phone (972) 607-2525

Other identifiers 3

IdentifierTypeStateIssuer
133895610MedicaidTX
133895611MedicaidTX
133895609MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090804000060 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880765452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Yale University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1110 Cottonwood LN
Suite 105
Irving, TX 75038-6113
Phone (972) 607-2525

1901 N Macarthur Blvd
Irving, TX 75061-2220
Phone (972) 579-8485

2005 W Park Dr
Irving, TX 75061-2034

2021 N Macarthur Boulevard
Irving, TX 75061-2210

400 W Lyndon B Johnson Fwy
Irving, TX 75063-3700

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

731 E Southlake Blvd
Suite 100
Southlake, TX 76092-6378
Phone (817) 424-3366

Hospital & facility affiliations

  • Kingly Home Health Care, Incorporated. Home health agency, Irving, TX, CCN 677982
  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9371TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 1, 2010 Accepting new patients
Healthtexas Provider Network Cardiovascular Disease Current Accepting new patients
Healthtexas Provider Network CurrentSince Sep 1, 2010 Accepting new patients
Cardiovascular Specialty Associates of North Texas, P.a. Past Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

1110 Cottonwood Ln
Ste 220
Irving, TX 75038
Phone (469) 417-7960

1110 Cottonwood Ln
Ste 210
Irving, TX 75038
Phone (972) 259-4781

1110 Cottonwood Ln
Ste 105
Irving, TX 75038
Phone (972) 607-2525

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: mrothkopf225337@direct.sw.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pca GreenvilleGreenville, TX, CCN 453870 Rural health clinic Corporate Director Jul 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1689673576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN",
            "address_2": "SUITE 105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "972-607-2525",
            "fax_number": "972-252-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN",
            "address_2": "SUITE 105",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "972-607-2525",
            "fax_number": "972-252-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHKOPF",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "E9371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133895610",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133895611",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133895609",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.