DAVID M. ROSENTRATER (M.D.) – Family Medicine Physician, NPI 1114923125

DAVID M. ROSENTRATER (M.D.) is a healthcare provider. based in Bremen, Indiana. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 01032844 (IN). The NPI Number for DAVID M. ROSENTRATER (M.D.) is 1114923125

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DAVID M. ROSENTRATER (M.D.)
NPI
1114923125
Phone
(574) 546-3045
Address
1724 W PLYMOUTH ST
Enumeration Date
23 June 2005
Last Update Date
10 December 2009

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5745463045
Graduation Year
1983 (43 years ago)
PAC ID
5193857266
Group Practice PAC ID
8527031947
Professional Enrollment ID
I20100726000338
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DAVID M. ROSENTRATER (M.D.)

  • 1724, West Plymouth Street, Bremen, Marshall County, Indiana, 46506, United States

    BREMEN, IN 465061940

    Phone: (574) 546-3045

    Fax: (574) 546-2716

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2010-07-26

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
I20100726000338IFamily PracticeINTBD

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 46506)

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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: 8527031947View full group profile
NameSpecialtyState
Family PracticeIN
Family Practice, Obstetrics/GynecologyIN
Family PracticeTX
Family PracticeIN
Family PracticeIN

Reviews

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Frequently asked questions

How do payers reference DAVID M. ROSENTRATER (M.D.)?
For DAVID M. ROSENTRATER (M.D.), use NPI 1114923125 as the unique 10-digit identifier.
Is there an active status for DAVID M. ROSENTRATER (M.D.)?
For scheduling context, DAVID M. ROSENTRATER (M.D.) is shown as active in the registry.
What area of care is associated with DAVID M. ROSENTRATER (M.D.)?
DAVID M. ROSENTRATER (M.D.)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DAVID M. ROSENTRATER (M.D.) located near Bremen?
DAVID M. ROSENTRATER (M.D.) currently maps to Bremen, Indiana in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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