ANDREAS D. ROTSIDES, MD, LLC
NPI 1104880061
Internal Medicine in Mine Hill, NJ
About Andreas D. Rotsides, Md, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREAS D. ROTSIDES, MD, LLC (NPI 1104880061) is a healthcare organization registered as an internal medicine in Mine Hill, New Jersey and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Andreas D Rotsides, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andreas D. Rotsides, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Andreas D. Rotsides, MD, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D1047860
Andreas D Rotsides, MD LLC · Mine Hill, NJFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andreas D. Rotsides, MD, LLC's NPI number?
The NPI number for Andreas D. Rotsides, MD, LLC is 1104880061. It was assigned to this organization in the NPPES registry on April 16, 2006.
Where is Andreas D. Rotsides, MD, LLC located?
Andreas D. Rotsides, MD, LLC is located at 195 Us Highway 46 Suite 200, Mine Hill, NJ 07803. The listed phone number is (973) 328-1040.
What is Andreas D. Rotsides, MD, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Andreas D. Rotsides, MD, LLC enrolled in Medicare?
Yes. Andreas D. Rotsides, MD, LLC is registered in the Medicare PECOS enrollment system.
When is Andreas D. Rotsides, MD, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Andreas D. Rotsides, MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Andreas D. Rotsides, MD, LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Andreas D. Rotsides, MD, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D1047860) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Andreas D. Rotsides, MD, LLC was last updated on September 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Andreas D. Rotsides, Md, Llc · NPI 1104880061
Internal Medicine organization in Mine Hill, New Jersey. Organization record, active in the CMS NPPES registry since April 16, 2006.
## Identity
- **NPI:** 1104880061 (Entity type: Organization)
- **Enumerated:** April 16, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Andreas Rotsides, OWNER
## Practice location
- **Address:** 195 US HIGHWAY 46, SUITE 200, Mine Hill, NJ 07803-3163
- **Phone:** (973) 328-1040 · **Fax:** (973) 328-1544
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 8, 2009
- **Other identifiers:** Other DG4164 (NJ); Other 2352899001 (NJ); Medicare ID-Type Unspecified 090981 (NJ); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104880061) · Data from the CMS NPPES public registry.