Individual provider Active NPI

Brooke L Rotatori, MD

  • Family Medicine Physician
  • Winter Park, FL
National Provider Identifier
1952805152
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME146765 Issued in FL
Practice address
1111 W Fairbanks Ave Ste 220
Winter Park, FL 32789-4777
Phone
(407) 635-5543
Fax
(321) 842-4002
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME146765 FL Primary

Addresses

Primary practice location

1111 W Fairbanks Ave Ste 220
Winter Park, FL 32789-4777

Mailing address

1111 W Fairbanks Ave Ste 220
Winter Park, FL 32789-4777
Phone (407) 635-5543

Other practice location 1

3128 E Hillsborough Ave
Tampa, FL 33610-4528
Phone (813) 579-1769

Other identifiers 1

IdentifierTypeStateIssuer
110426200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210312000122 FL Practitioner - Family Practice 2860808094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

1111 W Fairbanks Ave
FL 2
Winter Park, FL 32789-4756
Phone (407) 635-5565

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as apm
Quality
81.86
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME146765FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc Family Medicine CurrentSince Sep 1, 2024 Accepting new patients

Locations

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

1111 W Fairbanks Ave
Ste 220
Winter Park, FL 32789
Phone (407) 635-5543

1111 W Fairbanks Ave
Fl 2
Winter Park, FL 32789
Phone (407) 635-3024

Interoperability endpoints

  • Direct secure messaging: brooke.schutte@hca4.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1952805152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W FAIRBANKS AVE STE 220",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894777",
            "telephone_number": "407-635-5543",
            "fax_number": "321-842-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W FAIRBANKS AVE STE 220",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894777",
            "telephone_number": "407-635-5543",
            "fax_number": "321-842-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3128 E Hillsborough Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336104528",
            "country_code": "US",
            "telephone_number": "813-579-1769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTATORI",
        "first_name": "BROOKE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME146765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110426200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.