Michael D Rosellini, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

24643 Issued in AZ

Practice address

11209 N Tatum Blvd
Suite #110
Phoenix, AZ 85028-3091

Phone

(602) 248-8002

Fax

(602) 248-8399

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

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

Diagnostic Radiology

Education

Creighton University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Health Diagnostics of California a Professional CorporationGroup PAC ID 4284621525, 176 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

75.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

80.3 of 100Reported as group

Quality

75.71

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (8 of 10)

Locations (25 of 40)

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Smi Imaging, LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  AZ, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Health Diagnostics of California a Professional Corporation

  • Diagnostic Radiology Physician
  • Mountain View, CA
  • NPI 1104321959

  AZ, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Smi Imaging LLC

  • Mobile Mammography Clinic/Center
  • Tempe, AZ
  • NPI 1609412642
  NPD
• Analytic Medical Imaging, LTD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1235196692

  Diagnostic Radiology

  NPD (past)
• Arizona Diagnostic & Surgical Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1073561049
  NPD (past)
• Michigan Radiology PC

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1407129133

  Diagnostic Radiology

  NPD (past)
• Phoenix Diagnostic Imaging, Inc

  • Specialist
  • Phoenix, AZ
  • NPI 1396720405
  NPD (past)
• Radadvantage a Professional Corporation

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1376719666

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1013965441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14687",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852674687",
            "telephone_number": "480-991-8100",
            "fax_number": "480-992-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD",
            "address_2": "SUITE #110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283091",
            "telephone_number": "602-248-8002",
            "fax_number": "602-248-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLINI",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "24643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "563735",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0324990",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z7049",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Lunique Roseau, LAC
• Rosebud LLC
• Rosebud Optical
• Jamie Roseland
• Roselavender a. Richards, M.D. P.C.
• Rosemonte Assisted Living II LLC
• Candace Marie Rosen, L.C.S.W.
• Diana E Rosen
• Emily Susan Rosen, LMSW
• Galit P Rosen, M.D.

• All providers in Phoenix, AZ
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.