Kyle D Rose, DO

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

1650 Issued in NE

Practice address

8901 Indian Hills Dr Ste 200
Omaha, NE 68114-4032

Phone

(402) 397-7057

NPI assigned

Mar 10, 2011

Last updated

Jul 21, 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE, IA2 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

Gastroenterology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nemaha County HospitalGroup PAC ID 6204746480, 12 clinicians

Methodist Fremont HealthGroup PAC ID 7911258520, 89 clinicians

Midwest Gastrointestinal Associates PCGroup PAC ID 3779575766, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
• CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
• Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
• Nemaha County Hospital Hospital, Auburn, NE, CCN 281324
• Methodist Fremont Health Hospital, Fremont, NE, CCN 280077

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/nemaha-659e4e0f

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.

• Methodist Fremont Health

  dba Methodist Fremont Health Professional Services

  • Internal Medicine Physician
  • Fremont, NE
  • NPI 1235618216
  Medicare reassignment Care Compare group NPD
• Midwest Gastrointestinal Associates PC

  dba Midwest Gastrointestinal Associates

  • Gastroenterology Physician
  • Omaha, NE
  • NPI 1073569125

  IA

  Medicare reassignment Care Compare group NPD
• Nemaha County Hospital

  • Hematology & Oncology Physician
  • Auburn, NE
  • NPI 1437767860
  Medicare reassignment Care Compare group NPD
• Lakeside Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
  • NPI 1407992241
  NPD (past)
• Methodist Fremont Health

  dba Methodist Fremont Health Home Care

  • Home Health Agency
  • Fremont, NE
  • NPI 1619456696
  NPD (past)
• Midwest Endoscopy Services LLC

  • Ambulatory Surgical Clinic/Center
  • Omaha, NE
  • NPI 1053385328
  NPD (past)
• Jennie Edmundson Memorial Hospital

  dba JE Professional Services

  • Emergency Medicine Physician
  • Council Bluffs, IA
  • NPI 1942251269
  NPD (past)

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

• Alegent Creighton Health

  dba CHI Health Lakeside

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1649355132
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1033698543
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1376498543
  Care Compare affiliation
• Nebraska Methodist Hospital

  dba Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation
• Nemaha County Hospital

  • Critical Access Hospital
  • Auburn, NE
  • NPI 1891736237
  Care Compare affiliation
• Jennie Edmundson Memorial Hospital

  dba Methodist Jennie Edmundson

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1457448755
  Care Compare affiliation

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073811352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144032",
            "telephone_number": "402-397-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 INDIAN HILLS DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144032",
            "telephone_number": "402-397-7057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N wall st",
            "address_2": "507",
            "address_purpose": "LOCATION",
            "city": "kankakee",
            "state": "IL",
            "postal_code": "60901",
            "country_code": "US",
            "telephone_number": "815-928-6274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KYLE",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "1650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073811352",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Rose
• Harvey Dennis Rose
• Jenny Rose, PTA
• Jessica Rose
• Joseph Randolph Rose
• Layla Rose
• Lydia Rose
• Scott G Rose, M.D.
• Sloane Amelia Rose
• Terri Jo Rose, FNP

• Gastroenterology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Gastroenterology Physician in Nebraska

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