Vivian Percival Rose, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0043686 Issued in FL

Practice address

1505 N University Dr
Suite 300
Coral Springs, FL 33071-8921

Phone

(954) 575-4040

Fax

(954) 575-4049

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

EndocrinologyAlso: Internal Medicine, Obstetrics/Gynecology

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Endocrinology and Diabetes Associates, P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Coral Springs, FL
  • NPI 1780844803
  Medicare reassignment NPD Authorized official
• Advanced Diabetes Treatment Centers LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Boca Raton, FL
  • NPI 1326065038
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Broward Hospital District

  • General Acute Care Hospital
  • Coral Springs, FL
  • NPI 1174551147
  Care Compare affiliation

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1013020072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 N UNIVERSITY DR",
            "address_2": "SUITE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718921",
            "telephone_number": "954-575-4040",
            "fax_number": "954-575-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 N UNIVERSITY DR",
            "address_2": "SUITE 300",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330718921",
            "telephone_number": "954-575-4040",
            "fax_number": "954-575-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "VIVIAN",
        "middle_name": "PERCIVAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "0043686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward P Rosa, MD
• Ariel Angel Rosabal, DPT
• Wanda L Rosado, MSW
• Rosalyn J Norensberg MSW, PA
• Emily Rose
• Bernard Rosen, PHARMACIST
• Lori Ellen Rosen, M.S.
• Michele Rosen, SLP-A
• Deborah Cowen Rosenberg, MSW
• Rinda Rosenberg, LMHC

• Specialist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.