Individual provider Active NPI

David D Rotman, M.D.

  • Family Medicine Physician
  • Robinson, IL
National Provider Identifier
1730204405
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036081314 Issued in IL
Practice address
1002 N Allen St
Robinson, IL 62454-1145
Phone
(618) 544-7050
Fax
(618) 544-3738
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036081314 IL Primary

Addresses

Primary practice location

1002 N Allen St
Robinson, IL 62454-1145

Mailing address

1002 N Allen St
Robinson, IL 62454-1145
Phone (618) 544-7050

Other identifiers 2

IdentifierTypeStateIssuer
080119162OtherILMEDICARE RAILROAD
036081314MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070405000078 IL Practitioner - Family Practice 1658475389

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana Medical College, School of Medicine of Purdue University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Hospital DistrictGroup PAC ID 7719898071, shared by 8 NPIs, 71 clinicians

Practice addresses (Care Compare)

1101 N Allen St
CMH Rural Health
Robinson, IL 62454-1168
Phone (618) 544-3699

Hospital & facility affiliations

National Provider Directory

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

Hospital & facility affiliations 5

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1730204405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541145",
            "telephone_number": "618-544-7050",
            "fax_number": "618-544-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541145",
            "telephone_number": "618-544-7050",
            "fax_number": "618-544-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTMAN",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036081314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080119162",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081314",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robinson, IL

Sources for this page

Verify at the official NPI Registry.