MICHAEL GUY ROTHBAUM MD
NPI 1396326849
Student in an Organized Health Care Education/Training Program in Portlan, OR

Active since April 16, 2021PECOS Enrolled
OHSU, 3181 SW SAM JACKSON PARK ROAD, PORTLAN, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Guy Rothbaum Md NPPES

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

MICHAEL GUY ROTHBAUM MD (NPI 1396326849) is an individual student in an organized health care education/training program in Portlan, Oregon and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396326849
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL GUY ROTHBAUMCredential: MD
Location AddressOHSU, 3181 SW SAM JACKSON PARK ROADPortlan, OR 97239
Mailing AddressOhsu, 3181 Sw Sam Jackson Park RoadPortlan, OR 97239
Sole ProprietorNo
Enumeration DateApril 16, 2021
NPPES CertifiedMarch 24, 2021
NPI 1396326849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
OHSU, Portlan, OR 97239

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Guy Rothbaum 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 11

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

Emergency Medicine
OHSU, 3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
OHSU, 3181 SW SAN JACKSON PARK RD. L-579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
OHSU, 3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
OHSU, 3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
OHSU, 3181 SW SAM JACKSON PARK RD L-579
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
OHSU, 3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Emergency Medicine
OHSU, 3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Psychiatry & Neurology (Child & Adolescent Psychiatry)
OHSU, 3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239

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 Michael Rothbaum's NPI number?

The NPI number for Michael Rothbaum is 1396326849. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Michael Rothbaum located?

Michael Rothbaum practices at Ohsu 3181 SW Sam Jackson Park Road, Portlan, OR 97239. The listed phone number is (503) 494-8211.

What is Michael Rothbaum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Rothbaum enrolled in Medicare?

Yes. Michael Rothbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Rothbaum was last updated on April 16, 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.