Individual provider Active NPI

Paul Bernard Rotert, DO, MPH

  • Family Medicine Physician
  • Kansas City, KS
National Provider Identifier
1992071393
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-39260 Issued in KS
Practice address
3901 Rainbow Blvd
Ms 4010
Kansas City, KS 66160-8500
Phone
(913) 588-1908
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 05-39260 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd
Ms 4010
Kansas City, KS 66160-8500

Mailing address

3901 Rainbow Blvd
Ms 4010
Kansas City, KS 66160-8500
Phone (913) 588-1908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160818001558 KS Practitioner - Family Practice 5698080349 Reassigns benefits to 2 organizations
I20180628000995 MO Practitioner - Family PracticePractitioner - Internal Medicine 5698080349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians
Vivent Health IncGroup PAC ID 1052308376, 54 clinicians

Practice addresses (Care Compare)

3901 Rainbow Blvd
Kansas City, KS 66160-7415
Phone (913) 588-3315

4309 E 50TH Ter
Vivent Health
Kansas City, MO 64130-2853
Phone (816) 561-8784

Hospital & facility affiliations

  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Family Medicine CurrentSince Sep 16, 2016 Accepting new patients
Jayhawk Primary Care Inc Family Medicine CurrentSince Aug 6, 2017 Accepting new patients
Jayhawk Primary Care Inc Family Medicine Current Accepting new patients
Vivent Health Inc CurrentSince Oct 1, 2021 Accepting new patients
Kansas University Physicians Inc Family Medicine Current Accepting new patients
Vivent Health Inc Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Jayhawk Primary Care Inc CurrentSince Aug 6, 2017 Accepting new patients
Kansas University Physicians Inc CurrentSince Sep 16, 2016 Accepting new patients
University of Kansas Hospital Authority Past Accepting new patients
Kansas University Physicians Inc Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

2000 Olathe
Kansas City, KS 66160
Phone (913) 588-1908

3901 Rainbow Blvd
#4010
Kansas City, KS 66160
Phone (913) 588-1902

7405 Renner Rd
Shawnee Msn, KS 66217
Phone (913) 588-2200

4309 E 50th Ter
Kansas City, MO 64130
Phone (816) 561-8784

4309 E 50th Ter
Ste 200
Kansas City, MO 64130
Phone (816) 561-8784

2653 Locust St
Saint Louis, MO 63103
Phone (314) 645-6451

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

Interoperability endpoints

  • Direct secure messaging: protert359378@direct.ochin.org
  • Direct secure messaging: protert550855@direct.kuha.org

Organizations & group practices 10

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 2

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1992071393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MS 4010",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD",
            "address_2": "MS 4010",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-588-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTERT",
        "first_name": "PAUL",
        "middle_name": "BERNARD",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-39260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.