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DR. MARK DAVID ROTHMAN M.D.
NPI 1891774840
Specialist in Raleigh, NC

Active since January 10, 2006PECOS Enrolled
3604 BUSH ST, 2ND FLOOR, RALEIGH, NC 27609(919) 876-7807(919) 876-8823 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mark David Rothman M.d. NPPES

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

DR. MARK DAVID ROTHMAN M.D. (NPI 1891774840) is an individual specialist in Raleigh, North Carolina, licensed in North Carolina (31375) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891774840
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MARK DAVID ROTHMANCredential: M.D.
Location Address3604 BUSH ST, 2ND FLOORRaleigh, NC 27609-7511
Mailing Address3604 Bush St, 2nd FloorRaleigh, NC 27609-7511 · (919) 876-7807 · Fax (919) 876-8823
Phone(919) 876-7807
Fax(919) 876-8823
Sole ProprietorNo
Enumeration DateJanuary 10, 2006
Last NPPES UpdateMarch 24, 2011
✔ NPI 1891774840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 31375
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3604 BUSH ST, Raleigh, NC 27609
Open in Google Maps ↗

Other Identifiers 4

Other73447NY · Bcbs Provider Number
Medicaid6973447NC
Medicare ID-Type Unspecified210045NC
Medicare UPIND62808NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark David Rothman M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Rothman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Carolina Nephrology PA
Same address
Nephrology
3604 BUSH ST FL 2
Raleigh, NC 27609
  • Reassigned Medicare billing, North Carolina enrollment
  • 59 clinicians in this Medicare group
NPI 1508360462 (919) 876-7807

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 8

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

DR. JOSEPH KEITH KEENER M.D.
Specialist
3604 BUSH ST, 2ND FLOOR
RALEIGH, NC 27609
Wake County (919) 876-7807
MRS. DONNA ANTONIA THEODORE PA-C
Physician Assistant (Medical)
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807
MS. DEBORAH B BERG RD, LDN
Dietitian, Registered (Nutrition, Renal)
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807
DR. MICHAEL MONAHAN M.D.
Internal Medicine (Nephrology)
3604 BUSH ST, 2ND FLOOR
RALEIGH, NC 27609
Wake County (919) 876-7807
NANCI JACQULYN SULLIVAN-BLACKERT RN, MSN, CDE, NP-C
Nurse Practitioner (Family)
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807
LORI MICHELLE HASKINS NP-C
Nurse Practitioner
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807
BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7501
WAKE NEPHROLOGY ASSOCIATES, P.A.
Specialist
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807

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 Mark Rothman's NPI number?

The NPI number for Mark Rothman is 1891774840. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Mark Rothman located?

Mark Rothman practices at 3604 Bush St 2nd Floor, Raleigh, NC 27609. The listed phone number is (919) 876-7807.

What is Mark Rothman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Rothman enrolled in Medicare?

Yes. Mark Rothman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Rothman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Rothman reassigns Medicare benefits to North Carolina Nephrology PA (Raleigh, NC). The 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 Mark Rothman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Rothman was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.