Evan G Rosen, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G143954 Issued in CA

Practice address

2 Upper Ragsdale Dr BLDG a
Monterey, CA 93940-5736

Phone

(831) 333-3040

Fax

(831) 886-3639

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (8 of 9)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Innovative Medical Solutions Inc a Medical Group

  • Adolescent Medicine (Internal Medicine) Physician
  • Panorama City, CA
  • NPI 1972624955

  CA

  Medicare reassignment Care Compare group NPD
• Montage Medical Group

  • Internal Medicine Physician
  • Carmel, CA
  • NPI 1770710709

  CA

  Medicare reassignment Care Compare group NPD
• Assuta Family Medical Group a Professional Medical Corporation

  • Family Medicine Physician
  • North Hollywood, CA
  • NPI 1639400260

  CA, Urology

  Medicare reassignment NPD
• Community Hospital of the Monterey Peninsula

  • General Acute Care Hospital
  • Monterey, CA
  • NPI 1225285810

  CA

  Medicare reassignment NPD
• Comprehensive Urology Medical Group

  • Specialist
  • Los Angeles, CA
  • NPI 1760406250

  CA

  Medicare reassignment NPD
• New Century Institute for Urology & Andrology a.P.M.C.

  • Urology Physician
  • North Hollywood, CA
  • NPI 1639468093

  CA, Urology

  Medicare reassignment NPD
• Community Hospital of the Monterey Peninsula

  • General Acute Care Hospital
  • Monterey, CA
  • NPI 1932197258
  NPD
• S. Adam Ramin MD Inc

  • Urology Physician
  • Los Angeles, CA
  • NPI 1215940796

  Urology

  NPD

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

• Community Hospital of the Monterey Peninsula

  • Psychiatric Hospital Unit
  • Monterey, CA
  • NPI 1679562169

  Hospital

  Care Compare affiliation
• Community Hospital of the Monterey Peninsula

  • General Acute Care Hospital
  • Monterey, CA
  • NPI 1932197258

  Hospital

  Care Compare affiliation
• Deanco Healthcare LLC

  • General Acute Care Hospital
  • Panorama City, CA
  • NPI 1750365375

  Hospital

  Care Compare affiliation

Specialty

Urology

Education

Georgetown University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Montage Medical Group 125 clinicians

Innovative Medical Solutions Inc a Medical Group 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mission Community Hospital Hospital, Panorama City, CA, CCN 050704
• Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145

Merit-based Incentive Payment System (MIPS)

Final score

86.59 of 100Reported as group

Quality

81.82

Promoting interoperability

100

Improvement activities

40

Cost

73.46

Procedures performed for Medicare patients

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1013948959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "818-649-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR BLDG A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405736",
            "telephone_number": "831-333-3040",
            "fax_number": "831-886-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "EVAN",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME68557",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G143954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM",
            "identifier": "P988893",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "16933",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "S817401",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5898115",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "203920",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3781724",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIMENSION HEALTH PPO",
            "identifier": "5301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P968835",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27150",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald a Friedman MD Inc
• Ronald a. Friedman M.D. Inc.
• Carla J. Rosal, M.D.
• Kristin Leigh Rose, PHARMD
• Larry M Rose, PA
• Leland H Rosenblum, M.D.
• Kristan Lee Roth, L.AC M.T.C.M.
• Amber Rose Rotolo
• Habiba Rotter
• Denise Rovai

• All providers in Monterey, CA
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.