MRS. JACQUELINE ELEONORE ROTTA MD
NPI 1235056409
Student in an Organized Health Care Education/Training Program in Royal Oak, MI
About Mrs. Jacqueline Eleonore Rotta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELINE ELEONORE ROTTA MD (NPI 1235056409) is an individual student in an organized health care education/training program in Royal Oak, Michigan, licensed in Michigan (4351056659) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jacqueline Eleonore Rotta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ROYAL OAK, MI 48073
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 Jacqueline Rotta's NPI number?
The NPI number for Jacqueline Rotta is 1235056409. It was assigned to this individual provider in the NPPES registry on June 30, 2026.
Where is Jacqueline Rotta located?
Jacqueline Rotta practices at 3601 W. 13 Mile Road, Royal Oak, MI 48073. The listed phone number is (248) 551-3000.
What is Jacqueline Rotta's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacqueline Rotta enrolled in Medicare?
Yes. Jacqueline Rotta is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacqueline Rotta was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.
# Mrs. Jacqueline Eleonore Rotta, MD · NPI 1235056409
Student in an Organized Health Care Education/Training Program provider in Royal Oak, Michigan. Individual provider, active in the CMS NPPES registry since June 30, 2026.
## Identity
- **NPI:** 1235056409 (Entity type: Individual)
- **Enumerated:** June 30, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351056659 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 W. 13 MILE ROAD, Royal Oak, MI 48073
- **Phone:** (248) 551-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235056409) · Data from the CMS NPPES public registry.