Individual provider Active NPI

George Rosenberg, M.D.

  • Diagnostic Radiology Physician
  • St Thomas, VI
National Provider Identifier
1073728556
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
745 Issued in VI
Practice address
9149 Estate Thomas, Paragon Medical Building
Ste 103
St. Thomas, VI 00802
Phone
(340) 774-0265
Fax
(340) 776-0228
NPI assigned
May 10, 2007
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 745 VI Primary

Addresses

Primary practice location

9149 Estate Thomas, Paragon Medical Building
Ste 103
St. Thomas, VI 00802

Mailing address

PO Box 11839
St Thomas, VI 00801-4839
Phone (340) 774-0265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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

Enrollment IDStateProvider typePAC IDDetails
I20051007000575 VI Practitioner - Diagnostic Radiology 2961427067 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Thomas Radiology Associates LLC Diagnostic Radiology CurrentSince Feb 10, 1987 Accepting new patients
St. Thomas Radiology Associates, LLC Diagnostic Radiology CurrentSince Feb 10, 1987 Accepting new patients

Locations

9149 Estate Thomas
Ste 103
St Thomas, VI 00802
Phone (340) 643-0931

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1073728556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11839",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008014839",
            "telephone_number": "340-774-0265",
            "fax_number": "340-776-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9149 ESTATE THOMAS, PARAGON MEDICAL BUILDING",
            "address_2": "STE 103",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-774-0265",
            "fax_number": "340-776-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VI",
            "license": "745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Thomas, VI

Sources for this page

Verify at the official NPI Registry.