Individual provider Active NPI

Marianne S Rosen, MD

  • Dermatology Physician
  • Glenview, IL
National Provider Identifier
1083670111
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036111358 Issued in IL
Practice address
2601 Compass Rd Ste 125
Glenview, IL 60026
Phone
(847) 843-3376
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 036111358 IL
Procedural Dermatology Physician 207NS0135X 036111358 IL
Dermatology Physician 207N00000X 036111358 IL Primary

Addresses

Primary practice location

2601 Compass Rd Ste 125
Glenview, IL 60026

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

600 W Lake Cook Rd
Suite 110
Buffalo Grove, IL 60089-2089
Phone (847) 459-6611

Other practice location 2

2601 Compass Rd Ste 125
Glenview, IL 60026
Phone (847) 843-3376

Other practice location 3

401 Linden Ave
Wilmette, IL 60091-2844
Phone (847) 843-3376

Other practice location 4

2604 Dempster St Ste 101
Park Ridge, IL 60068-8425
Phone (847) 843-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20051026000478 IL Practitioner - Dermatology 6305863689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Northwestern University Feinberg Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

2601 Compass Rd
Suite 125
Glenview, IL 60026-8089
Phone (847) 843-3376

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions1608
Removal or shaving of skin growth16
Skin biopsy346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036111358ILMDClinical & Laboratory Dermatological Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Apr 27, 2021 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Apr 27, 2021 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

2051 Plainfield Rd
Crest Hill, IL 60403
Phone (815) 730-9900

2601 Compass Rd
Ste 125
Glenview, IL 60026
Phone (847) 843-3376

2604 Dempster St
Ste 101
Park Ridge, IL 60068
Phone (847) 699-0501

401 Linden Ave
Wilmette, IL 60091
Phone (847) 843-3376

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: mrosen@brodskyderm.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1083670111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 COMPASS RD STE 125",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60026",
            "telephone_number": "847-843-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Lake Cook Rd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600892089",
            "country_code": "US",
            "telephone_number": "847-459-6611",
            "fax_number": "847-459-7929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Compass Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "60026",
            "country_code": "US",
            "telephone_number": "847-843-3376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Linden Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600912844",
            "country_code": "US",
            "telephone_number": "847-843-3376",
            "fax_number": "847-998-8631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2604 Dempster St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600688425",
            "country_code": "US",
            "telephone_number": "847-843-3376",
            "fax_number": "847-998-8631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MARIANNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "IL",
            "license": "036111358",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036111358",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036111358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.