KEITH R ROTROFF (NP) – Family Nurse Practitioner, NPI 1336626985
Family Nurse Practitioner
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KEITH R ROTROFF (NP)
10988 Midway Rd
South Solon, OH 431539402
Phone: (937) 536-0439
Type: Location
10988 MIDWAY RD
SOUTH SOLON, OH 431539402
Phone: (937) 536-0439
Type: Location
29 KYLE DR
CEDARVILLE, OH 453149580
Phone: (937) 766-2611
Fax: (937) 766-5558
Type: Location
29, Kyle Drive, Cedarville, Greene County, Ohio, 45314, United States
CEDARVILLE, OH 453149580
Phone: (937) 766-2611
Fax: (937) 766-5558
Type: Mailing
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: 2021-03-26
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20210322001305 | I | Nurse Practitioner | OH | TBD |
| I20210326001881 | I | Nurse Practitioner | MT | 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 43153)
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