Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicole Le Rothenberg, MD

Individual provider Family Medicine Physician · NPI 1609093491

Dr. Nicole Le Rothenberg, MD is a Family Practice in Novi, Michigan. Graduated from Wayne State University School of Medicine in 2006, 20 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
20
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

26850 Providence Pkwy Ste 370
Novi, MI 48374-1213
Phone: (248) 465-4160
Fax: (248) 465-4525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301088470 (MI)

Record details

NPI number1609093491
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2007
Last updated in NPPESMay 21, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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