Active NPI
Rolimar, PSC.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Louisville, KY
National Provider Identifier
1740321082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 37074
- Legal business name
- ROLIMAR, PSC.
- Practice address
- 3991 Dutchmans LN
Suite G03
Louisville, KY 40207-4700 - Phone
- (502) 899-6100
- Fax
- (502) 899-6108
- NPI assigned
- Feb 9, 2007
- Last updated
- Mar 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roberto A. Penne-Casanova, M.D.
- Title
- Sole Proprietor
- Phone
- (502) 899-6100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 37074 | KY | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 37074 | KY | Primary |
Addresses
Primary practice location
3991 Dutchmans LN
Suite G03
Louisville, KY 40207-4700
Mailing address
PO Box 847
Prospect, KY 40059-0847
Phone (502) 753-0680
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65937617 | Medicaid | KY | |
| P00022895 | Other | KY | RAILROAD MEDICARE |
| 200386450A | Medicaid | IN | |
| 000000235989 | Other | KY | ANTHEM BLUE CROSS BLUE SHIELD |
| 2440624000 | Other | KY | PASSPORT ADVANTAGE |
| 1170389 | Other | KY | PASSPORT HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3991 Dutchmans Ln
Ste G3
Louisville, KY 40207
Phone (502) 899-6100
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Medicine Physician
- Louisville, KY
- NPI 1265492748
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1710355250
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1609921758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1740321082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847",
"city": "PROSPECT",
"state": "KY",
"postal_code": "400590847",
"telephone_number": "502-753-0680",
"fax_number": "502-753-0687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3991 DUTCHMANS LN",
"address_2": "SUITE G03",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074700",
"telephone_number": "502-899-6100",
"fax_number": "502-899-6108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROLIMAR, PSC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A",
"authorized_official_last_name": "PENNE-CASANOVA",
"authorized_official_first_name": "ROBERTO",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "502-899-6100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "KY",
"license": "37074",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "KY",
"license": "37074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65937617",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00022895",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200386450A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
"identifier": "000000235989",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2440624000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH PLAN",
"identifier": "1170389",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.