Christian Ivan Rosero Llerena, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

MD477589 Issued in PA

Practice address

764 Kennedy St Ste 101
Meadville, PA 16335-2209

Phone

(814) 373-2195

Fax

(814) 373-2197

NPI assigned

Jun 12, 2017

Last updated

Dec 9, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA, OH2 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

Specialty

Infectious Disease

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Meadville Physician ServicesGroup PAC ID 9638078504, 26 clinicians

Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
• Meadville Medical Center Hospital, Meadville, PA, CCN 390113
• Cleveland Clinic Hospital, Cleveland, OH, CCN 360180

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meadville Physician Services

  • Multi-Specialty Clinic/Center
  • Meadville, PA
  • NPI 1619236056

  Infectious Disease

  Medicare reassignment Care Compare group NPD
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Medicare reassignment Care Compare group NPD
• Meadville Medical Center

  • Multi-Specialty Clinic/Center
  • Meadville, PA
  • NPI 1629633573

  Infectious Disease

  Medicare reassignment NPD
• Titusville Area Hospital

  • Rural Health Clinic/Center
  • Titusville, PA
  • NPI 1316471212
  Medicare reassignment NPD
• Meadville Clinical Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Meadville, PA
  • NPI 1528048436
  NPD
• Meadville Medical Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Meadville, PA
  • NPI 1639067804
  NPD
• Titusville Area Hospital

  • Audiologist
  • Titusville, PA
  • NPI 1306712104
  NPD
• The Cleveland Clinic Foundation

  • Family Medicine Physician
  • Avon, OH
  • NPI 1184428336
  NPD
• Primary Care Services

  • Internal Medicine Physician
  • Meadville, PA
  • NPI 1962804955
  NPD (past)
• The Cleveland Clinic Foundation

  • Eyewear Supplier
  • Independence, OH
  • NPI 1740209816
  NPD (past)

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

• Meadville Medical Center

  • General Acute Care Hospital
  • Meadville, PA
  • NPI 1942276423
  Care Compare affiliation
• Cleveland Clinic Avon Hospital

  • General Acute Care Hospital
  • Avon, OH
  • NPI 1346607017
  Care Compare affiliation
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  Care Compare affiliation

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1073043139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 KENNEDY ST STE 101",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352209",
            "telephone_number": "814-373-2195",
            "fax_number": "814-373-2197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541499",
            "country_code": "US",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-3556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352559",
            "country_code": "US",
            "telephone_number": "814-333-5081",
            "fax_number": "814-333-5083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSERO LLERENA",
        "first_name": "CHRISTIAN",
        "middle_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD477589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen A Roche
• Rock Creek Counseling and Wellness Center
• Alassia Rodgers
• Laura Rogers-Wilson, RPH
• Kasey Roser
• Stuart Philip Rothman, LCSW, BCD
• Taylor Rupert, OD
• David G Rust, MD
• Rosanne Rust, MS, RD, LDN
• Tammy Sage

• Infectious Disease Physician in Meadville, PA
• Providers in Meadville, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.