Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MRS. JACQUELINE ELEONORE ROTTA MD
NPI 1235056409
Student in an Organized Health Care Education/Training Program in Royal Oak, MI

Active since June 30, 2026
3601 W. 13 MILE ROAD, ROYAL OAK, MI 48073(248) 551-3000 Get Directions Write a Review

NPPES record added: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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.

NPPES Registry Identity

NPI1235056409
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. JACQUELINE ELEONORE ROTTACredential: MD
Location Address3601 W. 13 MILE ROADRoyal Oak, MI 48073
Mailing Address3601 W. 13 Mile RoadRoyal Oak, MI 48073 · (248) 551-3000
Sole ProprietorNo
Enumeration DateJune 30, 2026
NPI 1235056409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351056659
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3601 W. 13 MILE ROAD, Royal Oak, MI 48073

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.

Internal Medicine
3601 W. 13 MILE ROAD
ROYAL OAK, MI 48073
Internal Medicine
3601 W. 13 MILE ROAD, GME OFFICE
ROYAL OAK, MI 48073
Internal Medicine
3601 W. 13 MILE ROAD
ROYAL OAK, MI 48073
Internal Medicine
3601 W. 13 MILE ROAD
ROYAL OAK, MI 48073
Internal Medicine
3601 W. 13 MILE ROAD
ROYAL OAK, MI 48073
Internal Medicine (Interventional Cardiology)
3601 W. 13 MILE ROAD
ROYAL OAK, MI 48073
Internal Medicine
3601 W. 13 MILE ROAD
ROYAL OAK, MI 48073
Pediatrics (Neonatal-Perinatal Medicine)
3601 W. 13 MILE ROAD
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.

When was this NPI record last updated?

The NPPES record for Jacqueline Rotta was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.