Individual provider Active NPI

Daniel Benson Rootman, MSC MD FRCSC

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1871849091
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A122223 Issued in CA
Practice address
100 Stein PLZ
Los Angeles, CA 90095-7006
Phone
(626) 817-4747
NPI assigned
Jul 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A122223 CA Primary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 122223 CA

Addresses

Primary practice location

100 Stein PLZ
Los Angeles, CA 90095-7006

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 825-5000

Other identifiers 1

IdentifierTypeStateIssuer
0A1222230MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120829000754 CA Practitioner - Ophthalmology 5890942650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

150 N Orange Grove Blvd
Pasadena, CA 91103-3534
Phone (626) 817-4747

200 Medical Plaza
Los Angeles, CA 90095-0001

200 Medical PLZ
Suite 530
Los Angeles, CA 90095-0001
Phone (310) 825-7922

300 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 825-5000

300 Stein Plaza
2ND Floor
Los Angeles, CA 90095-0001
Phone (310) 825-5000

622 W Duarte Rd
Suite 101
Arcadia, CA 91007-7606
Phone (323) 442-7122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.31 of 100Reported as group
Quality
78.96
Promoting interoperability
100
Improvement activities
40
Cost
71.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122223CAMDOphthalmology Physician
122223CAMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Apr 2, 2013 Accepting new patients
Jules Stein Eye Institute Medical Group Ophthalmology CurrentSince Jul 8, 2012 Accepting new patients
Jules Stein Eye Institute Medical Group CurrentSince Jul 8, 2012 Accepting new patients
County of Los Angeles CurrentSince Apr 2, 2013 Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Ophthalmology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

622 W Duarte Rd
Ste 101
Arcadia, CA 91007
Phone (310) 206-1166

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

100 Stein Plz
Los Angeles, CA 90095
Phone (310) 825-3090

625 S Fair Oaks Ave
Ste 240
Pasadena, CA 91105
Phone (626) 254-9010

1000 W Carson St
#480
Torrance, CA 90502
Phone (310) 222-5026

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Organizations & group practices 7

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1871849091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-825-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STEIN PLZ",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957006",
            "telephone_number": "626-817-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOTMAN",
        "first_name": "DANIEL",
        "middle_name": "BENSON",
        "credential": "MSC MD FRCSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A122223",
            "primary": true
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "122223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1222230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.