Active NPI
Inell Coeseta Rosario, MD
- Otolaryngology Physician
- Inver Grove Heights, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 39684
- Practice address
- 5565 Blaine Ave
Suite 225
Inver Grove Heights, MN 55076-1238 - Phone
- (651) 888-7800
- Fax
- (651) 888-7801
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 39684 | MN | Primary |
| Surgery Physician | 208600000X | 39684 | MN | |
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | 39684 | MN |
Addresses
Primary practice location
5565 Blaine Ave
Suite 225
Inver Grove Heights, MN 55076-1238
Mailing address
5565 Blaine Ave
Suite 225
Inver Grove Heights, MN 55076-1238
Phone (651) 888-7803
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 824517700 | Medicaid | MN | |
| 1104862523 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Minnesota Medical School, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advantage Physical Therapy and Sports Rehab, LLC
Practice addresses (Care Compare)
112 Ash St
Spooner, WI 54801-1487
Phone (715) 635-3979
2600 65TH Ave
Osceola, WI 54020-4370
Phone (715) 294-2111
5565 Blaine Ave
Suite 225
Inver Grove Heights, MN 55076-1239
Phone (651) 888-7800
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ladd Memorial Hospital | Current | Accepting new patients | |
| Andros ENT & Sleep Center PA | Otolaryngology | Current | Accepting new patients |
| Ladd Memorial Hospital | Current | Accepting new patients |
Locations
5565 Blaine Ave
Ste 225
Inver Grove Heights, MN 55076
Phone (651) 888-7800
2780 Snelling Ave N
Ste 201
Roseville, MN 55113
Phone (651) 888-7800
2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000
Interoperability endpoints
- irosario702589@direct.ochin.org
- https://fhir-myrecord.cerner.com/r4/8eec72c0-b1a5-472c-aba8-b566cb8522fc/
Organizations & group practices 3
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.
-
- Sleep Medicine (Otolaryngology) Physician
- Inver Grove Heights, MN
- NPI 1578807491
-
dba Osceola Medical Center
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
dba Osceola Medical Center Osceola Clinic
- Rural Health Clinic/Center
- Osceola, WI
- NPI 1801394549
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Osceola Medical Center
- Critical Access Hospital
- Osceola, WI
- NPI 1467560227
-
- Critical Access Hospital
- Saint Croix Falls, WI
- NPI 1043240922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1104862523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 BLAINE AVE",
"address_2": "SUITE 225",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550761238",
"telephone_number": "651-888-7803",
"fax_number": "651-888-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5565 BLAINE AVE",
"address_2": "SUITE 225",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550761238",
"telephone_number": "651-888-7800",
"fax_number": "651-888-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "INELL",
"middle_name": "COESETA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MN",
"license": "39684",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MN",
"license": "39684",
"primary": false
},
{
"code": "207YS0012X",
"taxonomy_group": "",
"desc": "Otolaryngology, Sleep Medicine",
"state": "MN",
"license": "39684",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "824517700",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104862523",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inver Grove Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.