Carlos Rotellar, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

29440 Issued in KY

Practice address

720 E 2ND Ave
Suite #203
Bowling Green, KY 42101-1778

Phone

(270) 843-5114

Fax

(270) 745-1230

NPI assigned

Apr 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Kentucky Nephrology Associates PSCGroup PAC ID 4183654643, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

88.81

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlosrotellar@xskn.ssdirect.aprima.com

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.

• Southern Kentucky Nephrology Associates PSC

  • Nephrology Physician
  • Bowling Green, KY
  • NPI 1740310267
  Medicare reassignment Care Compare group NPD
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865
  Medicare reassignment NPD
• Southern Ky Nephrology

  • Nurse Practitioner
  • Bowling Green, KY
  • NPI 1346379864
  NPD
• Jay Tomes Davis, MD, Obstetrics & Gynecology PSC

  • Obstetrics & Gynecology Physician
  • Bowling Green, KY
  • NPI 1255498648
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bowling Green-Warren County Community Hospital Corporation

  • General Acute Care Hospital
  • Bowling Green, KY
  • NPI 1043293608
  Care Compare affiliation

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1891758439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E 2ND AVE",
            "address_2": "SUITE #203",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011778",
            "telephone_number": "270-843-5114",
            "fax_number": "270-745-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E 2ND AVE",
            "address_2": "SUITE #203",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011778",
            "telephone_number": "270-843-5114",
            "fax_number": "270-745-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTELLAR",
        "first_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "29440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackayla Quinn Rose, BS
• Rosewood Healthcare Center
• Rosewood Healthcare Center
• Amy Ross, LPCA
• Emily Ross, MD
• George F Roundtree, BA
• Kelsey June Rowe, MS, CCC-SLP
• Anderson Raymond Rowland, MD
• Jeffrey Frank Rowland, PHARMD
• Sherry Roy-Hunton, LPCC

• Nephrology Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Nephrology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.