Individual provider Active NPI

Lawrence I Rosenberg, MD

  • Plastic Surgery Physician
  • Lutherville, MD
National Provider Identifier
1003826033
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D0050710 Issued in MD
Practice address
1304 Bellona Ave
Lutherville, MD 21093-5425
Phone
(410) 616-3000
Fax
(410) 616-2999
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X D0050710 MD Primary

Addresses

Primary practice location

1304 Bellona Ave
Lutherville, MD 21093-5425

Mailing address

1304 Bellona Avenue
Lutherville, MD 21093
Phone (410) 616-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000360 MD Practitioner - Plastic and Reconstructive Surgery 0345328944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Center of Maryland PAGroup PAC ID 1557251998, 4 clinicians

Practice addresses (Care Compare)

1304 Bellona Ave
Lutherville, MD 21093-5425
Phone (410) 616-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0050710MDMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialty Suites, Inc Current Accepting new patients
Plastic Surgery Center of Maryland PA Plastic Surgery CurrentSince Jul 1, 2002 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1304 Bellona Ave
Timonium, MD 21093
Phone (410) 616-3000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003826033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BELLONA AVENUE",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-616-3000",
            "fax_number": "410-616-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BELLONA AVE",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935425",
            "telephone_number": "410-616-3000",
            "fax_number": "410-616-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "LAWRENCE",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0050710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.