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DR. NICOLE LE ROTHENBERG MD
NPI 1609093491
Family Medicine in Novi, MI

Active since April 20, 2007PECOS EnrolledAccepts Medicare Assignment
26850 PROVIDENCE PKWY, SUITE 370, NOVI, MI 48374(248) 465-4160(248) 465-4525 Get Directions Write a Review

NPPES record last updated: May 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicole Le Rothenberg Md NPPES

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

DR. NICOLE LE ROTHENBERG MD (NPI 1609093491) is an individual family medicine provider in Novi, Michigan, licensed in Michigan (4301088470) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of Wayne State University School Of Medicine (2006).

NPPES Registry Identity

NPI1609093491
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICOLE LE ROTHENBERGCredential: MD
Location Address26850 PROVIDENCE PKWY, SUITE 370Novi, MI 48374-1213
Mailing Address26850 Providence Pkwy, Suite 370Novi, MI 48374-1213 · (248) 465-4160 · Fax (248) 465-5425
Phone(248) 465-4160
Fax(248) 465-4525
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2006
Enumeration DateApril 20, 2007
Last NPPES UpdateMay 21, 2014
✔ NPI 1609093491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301088470
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
26850 PROVIDENCE PKWY, Novi, MI 48374
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Other Identifiers 1

Other4301088470MI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicole Le Rothenberg Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173661469
PECOS Enrollment IDI20091106000035
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

USHA A SINGHI M.D.
Internal Medicine
26850 PROVIDENCE PKWY, SUITE 505
NOVI, MI 48374
Oakland County (248) 465-4163
DR. SERGE ALEXANDER SORSER MD
Internal Medicine
26850 PROVIDENCE PKWY, SUITE 350
NOVI, MI 48374
Oakland County (248) 662-4110
MUNE GOWDA MD PLLC
Specialist
26850 PROVIDENCE PKWY, SUITE 125
NOVI, MI 48374
Oakland County (248) 305-8400
ASHLEY BRAUER DPT
Physical Therapist
26850 PROVIDENCE PKWY
NOVI, MI 48374
Oakland County (248) 380-3550
RAMACHANDRA KOLACHALAM, MD PC
Surgery
26850 PROVIDENCE PKWY, #460
NOVI, MI 48374
Oakland County (586) 751-6034
ROBERT A CARTER M.D.
Family Medicine
26850 PROVIDENCE PKWY, SUITE 375
NOVI, MI 48374
Oakland County (248) 662-4200
LAWRENCE JOSEPH COLLINS LLP
Psychologist
26850 PROVIDENCE PKWY, SUITE 410
NOVI, MI 48374
Oakland County (248) 465-4335
HENRY FORD SEMI MEDICAL GROUP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26850 PROVIDENCE PKWY
NOVI, MI 48374
Oakland County (248) 680-8000

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 Nicole Rothenberg's NPI number?

The NPI number for Nicole Rothenberg is 1609093491. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Nicole Rothenberg located?

Nicole Rothenberg practices at 26850 Providence Pkwy Suite 370, Novi, MI 48374. The listed phone number is (248) 465-4160.

What is Nicole Rothenberg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Rothenberg enrolled in Medicare?

Yes. Nicole Rothenberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Rothenberg accept?

Health plans from McLaren Health Plan Community and Priority Health list Nicole Rothenberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Rothenberg affiliated with any hospitals?

According to CMS data, Nicole Rothenberg is affiliated with St Joe Mercy Hospital System Livonia, Ascension Providence Hospital, Southfield And Novi, Beaumont Hospital Royal Oak, Beaumont Hospital - Farmington Hills and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Nicole Rothenberg was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.