Individual provider Active NPI

Deborah Kathleen Rose

  • Neurology Physician
  • Baltimore, MD
National Provider Identifier
1023646411
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
04-50344 Issued in KS
Practice address
5300 Alpha Commons Dr
Baltimore, MD 21224-1750
Phone
(410) 550-6337
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 04-50344 KS Primary

Addresses

Primary practice location

5300 Alpha Commons Dr
Baltimore, MD 21224-1750

Mailing address

801 E Douglas Ave Ofc 233
Wichita, KS 67202-3548

Other practice location 1

801 E Douglas Ave Ofc 233
Wichita, KS 67202-3548
Phone (316) 670-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241210002411 KS Practitioner - Neurology 8022544394 Reassigns benefits to 1 organization
I20241217002360 MD Practitioner - Neurology 8022544394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Loyola University of Chicago, Stritch School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vigilias LLCGroup PAC ID 9133433279, 49 clinicians
Greeley County Health Services IncGroup PAC ID 0042233496, shared by 5 NPIs, 26 clinicians

Practice addresses (Care Compare)

425 N Belmont Ave
Wichita, KS 67208-3810
Phone 3165007549700

4610 Mews Dr
Owings Mills, MD 21117-4856
Phone 3165007549710

PO Box
Tribune, KS 67879-0640

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vigilias LLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients

Locations

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

801 E Douglas Ave
Ofc 233
Wichita, KS 67202
Phone (316) 670-3800

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

Interoperability endpoints

  • Direct secure messaging: drose1241999@direct.hopkinsmedicine.org

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1023646411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E DOUGLAS AVE OFC 233",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 ALPHA COMMONS DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241750",
            "telephone_number": "410-550-6337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Douglas Ave Ofc 233",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672023548",
            "country_code": "US",
            "telephone_number": "316-670-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DEBORAH",
        "middle_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KS",
            "license": "04-50344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.