Individual provider Active NPI

Inell Coeseta Rosario, MD

  • Otolaryngology Physician
  • Inver Grove Heights, MN
National Provider Identifier
1104862523
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
39684 Issued in MN
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

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
824517700MedicaidMN
1104862523MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 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

Enrollment IDStateProvider typePAC IDDetails
I20100217000778 MN Practitioner - OtolaryngologyPractitioner - Sleep Medicine 1759330764 Reassigns benefits to 1 organization
I20101007000350 WI Practitioner - Otolaryngology 1759330764 Reassigns benefits to 2 organizations

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, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians
Ladd Memorial HospitalGroup PAC ID 9931092848, 69 clinicians
Andros ENT and Sleep Center PAGroup PAC ID 0244478188, 2 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ladd Memorial Hospital CurrentSince Jun 29, 2022 Accepting new patients
Andros ENT & Sleep Center PA Otolaryngology CurrentSince May 1, 2013 Accepting new patients
Ladd Memorial Hospital CurrentSince Jun 29, 2022 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

  • Direct secure messaging: irosario702589@direct.ochin.org
  • FHIR API: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.