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DR. MIRKO ROETHLISBERGER MD
NPI 1205885480
Internal Medicine in The Villages, FL

Active since May 08, 2006PECOS Enrolled
1050 OLD CAMP RD, THE VILLAGES, FL 32162(352) 674-1760(352) 674-8960 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mirko Roethlisberger Md NPPES

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

DR. MIRKO ROETHLISBERGER MD (NPI 1205885480) is an individual internal medicine provider in The Villages, Florida, licensed in Florida (ME118494) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205885480
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MIRKO ROETHLISBERGERCredential: MD
Location Address1050 OLD CAMP RDThe Villages, FL 32162-1762
Mailing Address1020 Lake Sumter LndgThe Villages, FL 32162-2699 · (352) 674-8905 · Fax (352) 674-8919
Phone(352) 674-1760
Fax(352) 674-8960
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateJanuary 29, 2021
NPPES CertifiedJanuary 29, 2021
✔ NPI 1205885480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME118494✔ Licensed in NY · 222082
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1050 OLD CAMP RD, The Villages, FL 32162
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Other Identifiers 3

Medicaid02445563NY
Other109768BJPrefered Care
Other010222082Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mirko Roethlisberger Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32162 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ASHLEY LYNN WOOD MD
Family Medicine
1050 OLD CAMP RD
THE VILLAGES, FL 32162
Sumter County (352) 674-1760
CARDIAC AND VASCULAR CONSULTANTS MD PA
Clinic/Center (Medical Specialty)
1050 OLD CAMP RD, SUITE 270
THE VILLAGES, FL 32162
Sumter County (352) 552-4648
ST. LUKES SURGICAL AT THE VILLAGES, INC
Clinic/Center (Ambulatory Surgical)
1050 OLD CAMP RD, BUILDING #230
THE VILLAGES, FL 32162
Sumter County (352) 350-8484
MICHAEL RICHARDS PA
Physician Assistant
1050 OLD CAMP RD, SUITE 202
THE VILLAGES, FL 32162
Sumter County (352) 259-5960
BASEL AL ALOUL MD, DO, MB, BCH
Internal Medicine (Interventional Cardiology)
1050 OLD CAMP RD, SUITE 270
THE VILLAGES, FL 32162
Sumter County (352) 633-1966
DANIELLE BLAKEMORE APRN, FNP-C
Nurse Practitioner (Family)
1050 OLD CAMP RD
THE VILLAGES, FL 32162
Sumter County (352) 674-1760
SCOTT W. WOJCIECHOWSKI PA-C
Physician Assistant (Medical)
1050 OLD CAMP RD, STE 270
THE VILLAGES, FL 32162
Sumter County (352) 633-1966
JOSEPH CARL HILDNER M.D.
Family Medicine
1050 OLD CAMP RD
THE VILLAGES, FL 32162
Sumter County (352) 674-1760

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 Mirko Roethlisberger's NPI number?

The NPI number for Mirko Roethlisberger is 1205885480. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Mirko Roethlisberger located?

Mirko Roethlisberger practices at 1050 Old Camp Rd, The Villages, FL 32162. The listed phone number is (352) 674-1760.

What is Mirko Roethlisberger's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mirko Roethlisberger enrolled in Medicare?

Yes. Mirko Roethlisberger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mirko Roethlisberger was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.