MEDICARE: THOMAS ROTKIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	9585	AZ
2	207RP1001X	Pulmonary Disease Physician	9585	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154328466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS ROTKIS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 31235
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85751-1235
Country	:	US
Telephone Number	:	520-324-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1951 N WILMOT RD
Second Line	:	BLDG 4
City	:	TUCSON
State	:	AZ
Zip	:	85712-8000
Country	:	US
Telephone Number	:	520-318-1114
Fax Number	:	520-318-4693

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	09/14/2021

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Directions to “ THOMAS ROTKIS M.D.” Practice Location

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