Active NPI
Alan Francis Rothstein, DPM
- Foot & Ankle Surgery Podiatrist
- Tigard, OR
National Provider Identifier
1831177971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO135
- Practice address
- 11515 SW Durham Rd
Building E
Tigard, OR 97224-3476 - Phone
- (503) 624-0364
- Fax
- (503) 684-3306
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO135 | OR | Primary |
Addresses
Primary practice location
11515 SW Durham Rd
Building E
Tigard, OR 97224-3476
Mailing address
11515 SW Durham Rd
Building E
Tigard, OR 97224-3476
Phone (503) 624-0364
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082307000 | Other | OR | BLUECROSS BLUE SHIELD |
| 22429-5 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO135 | OR | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrective Step Foot Health Center | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Tigard, OR
- NPI 1679979397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831177971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11515 SW DURHAM RD",
"address_2": "BUILDING E",
"city": "TIGARD",
"state": "OR",
"postal_code": "972243476",
"telephone_number": "503-624-0364",
"fax_number": "503-684-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11515 SW DURHAM RD",
"address_2": "BUILDING E",
"city": "TIGARD",
"state": "OR",
"postal_code": "972243476",
"telephone_number": "503-624-0364",
"fax_number": "503-684-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHSTEIN",
"first_name": "ALAN",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OR",
"license": "PO135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "082307000",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22429-5",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.