Kelly Sue Rothe, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200301048 Issued in NC

Practice address

2 S Main St
Burnsville, NC 28714-2929

Phone

(828) 678-9352

Fax

(828) 682-7866

NPI assigned

Jan 25, 2006

Last updated

Sep 15, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.rothe@64452452286468.direct.elationemr.com

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.

• Mountain Medical Arts PLLC

  • Family Medicine Physician
  • Burnsville, NC
  • NPI 1609856590
  NPD Authorized official
• Natus Peloton Incorporated

  • General Practice Physician
  • Orlando, FL
  • NPI 1912332198
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1801866454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1240",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287141240",
            "telephone_number": "828-678-9352",
            "fax_number": "828-682-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287142929",
            "telephone_number": "828-678-9352",
            "fax_number": "828-682-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHE",
        "first_name": "KELLY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200301048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135R4",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHEILD",
            "identifier": "135R4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Roberts
• Victoria Danielle Robinson, FNP-BC
• Karin P Rolett, LCSW
• Melissa Hill Rosenberger, PHARM.D.
• Donna Ross, RN, BSN, PHN II
• Damon G Rouse, PT
• Jessica Joanna Ruegg
• Kirstin James Rule, CNM
• Kendra Lee Rumback
• Bryan Schlecht, DPT

• Family Medicine Physician in Burnsville, NC
• Providers in Burnsville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.