DR. JOHN ROBERT ROTRUCK MD
NPI 1225009921
Anesthesiology in Pearl Harbor, HI

Q: What is John Rotruck's NPI number?

The NPI number for John Rotruck is 1225009921. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Q: What is John Rotruck's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for John Rotruck was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 30, 2006PECOS Enrolled

480 CENTRAL AVE, PEARL HARBOR, HI 96860(808) 474-4242 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 13, 2023, Jan 17, 2017 (2 updates tracked since 2017).

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About Dr. John Robert Rotruck Md NPPES

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

DR. JOHN ROBERT ROTRUCK MD (NPI 1225009921) is an individual anesthesiology provider in Pearl Harbor, Hawaii, licensed in Virginia (0101056495) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Honolulu.

NPPES Registry Identity

NPI1225009921

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. JOHN ROBERT ROTRUCKCredential: MD

Location Address480 CENTRAL AVEPearl Harbor, HI 96860-4908

Mailing AddressNaval Health Clinic Hawaii, 480 Central AvenuePearl Harbor, HI 96860 · (808) 474-4242

Phone(808) 474-4242

Sole ProprietorNo

Enumeration DateJanuary 30, 2006

Last NPPES UpdateNovember 13, 20232 updates tracked since enumeration

NPPES CertifiedNovember 9, 2023

✔ NPI 1225009921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in VA · 0101056495

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

480 CENTRAL AVE, Pearl Harbor, HI 96860

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Secondary Practice Location 1

Location 11 Jarrett White RoadHonolulu, HI 98659 · Phone (808) 433-6661

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. John Robert Rotruck 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.

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.

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