EDWARD EARL JR. ROTAN (M.D.) – Dermatology Physician, NPI 1780734582
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,706 FAMILY PRACTICE in TX
Loading map...
Provider Addresses for EDWARD EARL JR. ROTAN (M.D.)
19772, MacArthur Boulevard, UCI - North Campus, Irvine, Orange County, California, 92612, United States
SUITE 210
IRVINE, CA 926122413
Phone: (949) 975-0620
Fax: (949) 975-0628
Type: Mailing
715, North Fielder Road, Arlington, Tarrant County, Texas, 76012, United States
ARLINGTON, TX 760124695
Phone: (817) 261-1626
Fax: (817) 275-0441
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051012000677 | I | Family Practice | CA | TBD |
| I20090904000237 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92612)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice | LA | |
| Physician Assistant | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Family Practice | KY | |
| Physician Assistant | MA | |
| - | TX | |
| Nurse Practitioner | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.