DR. KENNETH LAWRENCE ROTHBAUM MD
NPI 1588657639
Psychiatry & Neurology - Psychiatry in Baltimore, MD
About Dr. Kenneth Lawrence Rothbaum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH LAWRENCE ROTHBAUM MD (NPI 1588657639) is an individual psychiatry provider in Baltimore, Maryland, licensed in Maryland (B27007) and active in the NPI registry since August 2005. He has opted out of Medicare through February 13, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Kenneth Lawrence Rothbaum Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 13, 2014 through February 13, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BALTIMORE, MD 21210
BALTIMORE, MD 21210
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 Kenneth Rothbaum's NPI number?
The NPI number for Kenneth Rothbaum is 1588657639. It was assigned to this individual provider in the NPPES registry on August 24, 2005.
Where is Kenneth Rothbaum located?
Kenneth Rothbaum practices at 2 Village Sq Suite 210, Baltimore, MD 21210. The listed phone number is (410) 433-7433.
What is Kenneth Rothbaum's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Kenneth Rothbaum enrolled in Medicare?
No. Kenneth Rothbaum has opted out of Medicare through February 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Kenneth Rothbaum was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.
# Dr. Kenneth Lawrence Rothbaum, MD · NPI 1588657639
Psychiatry physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since August 24, 2005.
## Identity
- **NPI:** 1588657639 (Entity type: Individual)
- **Enumerated:** August 24, 2005
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** B27007 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2 VILLAGE SQ, SUITE 210, Baltimore, MD 21210-1624
- **Phone:** (410) 433-7433 · **Fax:** (410) 433-1663
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 13, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Other B27007 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1588657639) · Data from the CMS NPPES public registry.