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DR. ROMMELLE VON SUCH M.D.
NPI 1124039409
General Practice in Palm Coast, FL

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
1 FLORIDA PARK DR N, SUITE 109-110, PALM COAST, FL 32137(386) 445-3619(386) 445-6925 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rommelle Von Such M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROMMELLE VON SUCH M.D. (NPI 1124039409) is an individual general practice provider in Palm Coast, Florida, licensed in Florida (ME0062070) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1988).

NPPES Registry Identity

NPI1124039409
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. ROMMELLE VON SUCHCredential: M.D.
Location Address1 FLORIDA PARK DR N, SUITE 109-110Palm Coast, FL 32137-3852
Mailing Address1 Florida Park Dr N, Suite 109-110Palm Coast, FL 32137-3852 · (386) 445-3619 · Fax (386) 445-6925
Phone(386) 445-3619
Fax(386) 445-6925
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 1988
Enumeration DateAugust 11, 2006
Last NPPES UpdateSeptember 21, 2011
✔ NPI 1124039409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME0062070
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1 FLORIDA PARK DR N, Palm Coast, FL 32137
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Other Identifiers 1

Medicare UPINF74164FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rommelle Von Such M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345330262
PECOS Enrollment IDI20071217000032
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services11 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA PINTO PH.D
Counselor (Pastoral)
1 FLORIDA PARK DR N, SUITE 207
PALM COAST, FL 32137
Flagler County (386) 206-6325
DR. JENNA LYNN LANGENDERFER D.C.
Chiropractor
1 FLORIDA PARK DR N, STE 106
PALM COAST, FL 32137
Flagler County (386) 603-8001
DR. DWIGHT PETER LIM TIU M.D.
Family Medicine (Addiction Medicine)
1 FLORIDA PARK DR N
PALM COAST, FL 32137
Flagler County (904) 728-6934

Frequently 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 Rommelle Such's NPI number?

The NPI number for Rommelle Such is 1124039409. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Rommelle Such located?

Rommelle Such practices at 1 Florida Park Dr N Suite 109-110, Palm Coast, FL 32137. The listed phone number is (386) 445-3619.

What is Rommelle Such's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Rommelle Such enrolled in Medicare?

Yes. Rommelle Such is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rommelle Such was last updated on September 21, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.