KENISHA ROTIBI
NPI 1679029136
Case Management in Grand Prairie, TX

Active since August 25, 2016PECOS EnrolledAccepts Medicare Assignment
5963 RIDGEWAY DR, GRAND PRAIRIE, TX 75052(972) 890-6101 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2026, May 5, 2023, Aug 25, 2016 (3 updates tracked since 2016).

About Kenisha Rotibi NPPES

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

KENISHA ROTIBI (NPI 1679029136) is an individual case management provider in Grand Prairie, Texas and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1679029136
Entity TypeIndividualFemale
Primary Taxonomy251B00000X
Provider Legal NameKENISHA ROTIBI
Location Address5963 RIDGEWAY DRGrand Prairie, TX 75052-0444
Mailing Address5963 Ridgeway DrGrand Prairie, TX 75052-0444
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 25, 2016
Last NPPES UpdateMay 6, 20263 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1679029136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 55603 (TX)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
5963 RIDGEWAY DR, Grand Prairie, TX 75052

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenisha Rotibi 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 ID1254629033
PECOS Enrollment IDI20161011001306
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kenisha Rotibi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Case Management
1880 S DAIRY ASHFORD RD STE 207
Houston, TX 77077
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
Community/Behavioral Health
16205 WESTHEIMER RD STE 100
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Psychiatry
4810 RIVERSTONE BLVD STE 100
Missouri City, TX 77459
  • Reassigned Medicare billing, Texas enrollment
  • 54 clinicians in this Medicare group
Case Management
4683 BETTS DR #403, #403
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

Music Therapist
5963 RIDGEWAY DR
GRAND PRAIRIE, TX 75052
Social Worker (Clinical)
5963 RIDGEWAY DR
GRAND PRAIRIE, TX 75052

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 Kenisha Rotibi's NPI number?

The NPI number for Kenisha Rotibi is 1679029136. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Kenisha Rotibi located?

Kenisha Rotibi practices at 5963 Ridgeway Dr, Grand Prairie, TX 75052. The listed phone number is (972) 890-6101.

What is Kenisha Rotibi's specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

Is Kenisha Rotibi enrolled in Medicare?

Yes. Kenisha Rotibi 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.

Which organizations bill Medicare for Kenisha Rotibi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenisha Rotibi reassigns Medicare benefits to 4 organizations: Retrospective Wellness LLC (Houston, TX), Victoria Behavioral Services Clinic LLC (Houston, TX), Tp-Health Incorporated (Missouri City, TX) and A Chosen Path Counseling And Consulting Services PLLC (Grand Prairie, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenisha Rotibi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenisha Rotibi accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Kenisha Rotibi 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.

When was this NPI record last updated?

The NPPES record for Kenisha Rotibi was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.