DR. VITALIY ROTENBERG (MD) – Internal Medicine Physician, NPI 1508228081

DR. VITALIY ROTENBERG (MD) is a healthcare provider. based in Maywood, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 125069050 (IL). The NPI Number for DR. VITALIY ROTENBERG (MD) is 1508228081

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. VITALIY ROTENBERG (MD)
NPI
1508228081
Phone
(708) 216-5368
Address
2160 S 1st Ave
Enumeration Date
24 March 2016
Last Update Date
29 April 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
2164442200
Graduation Year
2016 (10 years ago)
PAC ID
2567755846
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20190809002470
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for DR. VITALIY ROTENBERG (MD)

  • 2160 S 1st Ave

    Maywood, IL 601533328

    Phone: (708) 216-5368

    Type: Location

  • 4040 EMBASSY PKWY STE 400

    AKRON, OH 443338341

    Phone: (330) 576-4295

    Type: Location

  • 486, Lassiter Drive, Highland Heights, Cuyahoga County, Ohio, 44143, United States

    HIGHLAND HEIGHTS, OH 441433614

    Phone: (440) 862-8266

    Type: Mailing

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: 2019-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190809002470IInternal MedicineOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12757$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7835$0
99239Hospital discharge day management, more than 30 minutes6060$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

Loading plans...

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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

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.

Frequently asked questions

What federal number belongs to DR. VITALIY ROTENBERG (MD)?
The federal identifier for DR. VITALIY ROTENBERG (MD) is NPI 1508228081.
Is DR. VITALIY ROTENBERG (MD) currently active in the NPI registry?
CMS-published data lists DR. VITALIY ROTENBERG (MD) as an active registrant.
What field does DR. VITALIY ROTENBERG (MD) work in?
You can think of DR. VITALIY ROTENBERG (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. VITALIY ROTENBERG (MD)'s primary listing?
We display Maywood, Illinois because that is what the record indicates for DR. VITALIY ROTENBERG (MD).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

DR. SARITHA VANKANA (M.D.)

Internal Medicine Physician
6529, Middlecoff Court, Woodridge, DuPage County, Illinois, 60517, United States
NPI: 1740284504

KEVIN J EMBACH (M.D.)

Internal Medicine Physician
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
NPI: 1437151974

MICHELLE L PUZIO-BELL (D.O.)

Internal Medicine Physician
Loyola University Medical Center, 2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
NPI: 1255325320

DR. MICHAEL LOUIS RADZIENDA (M.D.)

Internal Medicine Physician
4023, Picardy Drive, Charlemagne, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States
NPI: 1457342610

HANK GRAZIANO (MD)

Emergency Medicine Physician
410 Quail Ridge Dr
NPI: 1750361325

JOSEPHINE DLUGOPOLSKI-GACH (MD)

Internal Medicine Physician
2160 S FIRST AVE
NPI: 1679543151

ENO NSIMA-OBOT (MD)

Internal Medicine Physician
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
NPI: 1033180245

SAM T HUNG (MD)

Internal Medicine Physician
2160 S FIRST AVE
NPI: 1750352753