Individual provider Active NPI

Reinhard E Rott, MD-MBA

  • General Practice Physician
  • Temple Terrace, FL
National Provider Identifier
1992748610
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0064432 Issued in FL
Practice address
8793 N 56TH St
Temple Terrace, FL 33617-6201
Phone
(844) 665-4827
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30464 AZ
General Practice Physician 208D00000X ME0064432 FL Primary

Addresses

Primary practice location

8793 N 56TH St
Temple Terrace, FL 33617-6201

Mailing address

5340 W Kennedy Blvd Unit 336
Tampa, FL 33609-2413
Phone (813) 280-9498

Other identifiers 1

IdentifierTypeStateIssuer
596364MedicaidAZ

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
I20110112000032 FL Practitioner - General Practice 7618879438 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0064432FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guidewell Sanitas I, LLC CurrentSince May 30, 2023 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

180 SW 84th Ave
Plantation, FL 33324
Phone (954) 271-2855

3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020

8793 N 56th St
Temple Terrace, FL 33617
Phone (813) 550-2676

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1992748610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 W KENNEDY BLVD UNIT 336",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092413",
            "telephone_number": "813-280-9498",
            "fax_number": "866-781-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8793 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336176201",
            "telephone_number": "844-665-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTT",
        "first_name": "REINHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD-MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "30464",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0064432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596364",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.