Peter M Rothman, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

01026818A Issued in IN

Practice address

7920 W Jefferson Blvd
Suite 220
Fort Wayne, IN 46804

Phone

(260) 436-5670

Fax

(260) 436-4706

NPI assigned

Aug 2, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Fort Wayne Allergy and Asthma Consultants, Inc.

  • Specialist
  • Fort Wayne, IN
  • NPI 1487734109
  NPD (past)
• Fort Wayne Allergy and Asthma Consultants, Inc.

  • Allergy & Immunology Physician
  • Fort Wayne, IN
  • NPI 1689714727
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1982605937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 W JEFFERSON BLVD",
            "address_2": "SUITE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-436-5670",
            "fax_number": "260-436-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 W JEFFERSON BLVD",
            "address_2": "SUITE 220",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-436-5670",
            "fax_number": "260-436-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHMAN",
        "first_name": "PETER",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IN",
            "license": "01026818A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100050320A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Nicole Rothenbush, LMFT
• Amanda Rothgeb
• Michale Diane Rothgeb, PTA
• Rachael M Rothgeb, DPT
• Sara M Rothgeb, MSN, FNP-C
• Rounding Providers
• Brian H Roush, LMHC
• Jason P Row, MD
• Andrew Rowe
• Jeanne M. Rowe, M.D.

• Allergy Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Allergy Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.