DR. LAWRENCE MARK ROTHENBERG (M.D.) – Internal Medicine Physician, NPI 1104809367

DR. LAWRENCE MARK ROTHENBERG (M.D.) is a healthcare provider. based in Wellington, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 67244 (AZ). The NPI Number for DR. LAWRENCE MARK ROTHENBERG (M.D.) is 1104809367

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAWRENCE MARK ROTHENBERG (M.D.)
NPI
1104809367
Phone
(561) 795-3330
Address
1157 S STATE ROAD 7
Enumeration Date
22 November 2005
Last Update Date
15 May 2025

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
9287632001
Graduation Year
1972 (54 years ago)
PAC ID
2961452552
Group Practice PAC ID
4385940295
Professional Enrollment ID
I20230823002694
Address ID
AZ864424334BU3015XHWAY201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for DR. LAWRENCE MARK ROTHENBERG (M.D.)

  • 1157, State Road 7, Polo Lakes Apartments, Wellington, Palm Beach County, Florida, 33414, United States

    WELLINGTON, FL 334146101

    Phone: (561) 795-3330

    Fax: (561) 795-1030

    Type: Location

  • 3636 N Stockton Hill Rd

    Kingman, AZ 864090514

    Phone: (928) 757-3636

    Type: Location

  • 3015 HWAY 95 STE 105

    BULLHEAD CITY, AZ 864424334

    Phone: (928) 763-2001

    Fax: (928) 763-2038

    Type: Mailing

  • 3015 HIGHWAY 95 STE 105

    BULLHEAD CITY, AZ 864424334

    Phone: (928) 763-2001

    Fax: (928) 763-2038

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Organogenesis Inc. ($30).

Total Amount

$91

General + Research + Ownership

Payments

4

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110513000645IGastroenterologyFLTBD
I20230213001045IInternal MedicineNDTBD
I20230823002694IInternal MedicineAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33414)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385940295View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Physician AssistantAZ
Physician AssistantAZ
Physician AssistantAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Physician AssistantAZ
Physician AssistantTX
Nurse PractitionerAZ

Reviews

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Frequently asked questions

Does DR. LAWRENCE MARK ROTHENBERG (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. LAWRENCE MARK ROTHENBERG (M.D.) uses 1104809367.
Is DR. LAWRENCE MARK ROTHENBERG (M.D.) still practicing?
DR. LAWRENCE MARK ROTHENBERG (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does DR. LAWRENCE MARK ROTHENBERG (M.D.) hold?
Scheduling teams often label DR. LAWRENCE MARK ROTHENBERG (M.D.) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. LAWRENCE MARK ROTHENBERG (M.D.) based?
DR. LAWRENCE MARK ROTHENBERG (M.D.) is tied to Wellington, Florida in the data we show; additional addresses may exist on the full record.
Is the information about DR. LAWRENCE MARK ROTHENBERG (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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