NPIMap

Individual provider Active NPI

Peter S. Rosa, M.D.

  • Family Medicine Physician
  • Hiawatha, KS
National Provider Identifier
1104918630
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0426820 Issued in KS
Practice address
300 Utah St Ste 200
Hiawatha, KS 66434-2314
Phone
(785) 742-2161
Fax
(785) 742-6558
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0426820 KS Primary

Addresses

Primary practice location

300 Utah St Ste 200
Hiawatha, KS 66434-2314

Mailing address

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Other practice location 1

415 W Main St
Highland, KS 66035-4143
Phone (785) 442-3213

Other practice location 2

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Other identifiers 4

IdentifierTypeStateIssuer
10028793801MedicaidNE
004030039OtherKSPTAN
100315890AMedicaidKS
30004382510001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607001205 KS Practitioner - Family Practice 5698725216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hiawatha Hospital Association IncGroup PAC ID 9032007364, shared by 5 NPIs, 47 clinicians

Practice addresses (Care Compare)

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Hospital & facility affiliations

  • Northeast Kansas Multi County HHA Home health agency, Hiawatha, KS, CCN 177031
  • Amberwell Health at Home Home health agency, Atchison, KS, CCN 177181
  • St Croix Hospice Hospice, Topeka, KS, CCN 171551
  • Hospice of NE KS Multi-County Hospice, Hiawatha, KS, CCN 171529
  • Hiawatha Community Hospital Hospital, Hiawatha, KS, CCN 171341
  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086
  • Amberwell Atchison Association Hospital, Atchison, KS, CCN 171382
  • Maple Heights Nursing & Rehabilitative Center Nursing home, Hiawatha, KS, CCN 175508
  • Hiawatha Community Hospital Nursing home, CCN 17Z341

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Hospital Association Inc CurrentSince Aug 1, 1998 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Oct 1, 2025 Accepting new patients
Hiawatha Hospital Association Inc Family Medicine CurrentSince Aug 1, 1998 Accepting new patients
Hiawatha Hospital Association, Inc. Current Accepting new patients
Rockpoint Care Center LLC Past Accepting new patients
Hiawatha Hospital Association Inc Past Accepting new patients
Hiawatha Hospital Association Inc Past Accepting new patients

Locations

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

300 Utah St
Ste 200
Hiawatha, KS 66434
Phone (785) 742-2161

300 Utah St
Fl 2
Hiawatha, KS 66434
Phone (785) 742-2161

415 W Main St
Highland, KS 66035
Phone (785) 442-3213

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amberwell HiawathaHiawatha, KS, CCN 171341 Hospital Corporate Officer
W-2 Managing Employee		 Jan 1, 2025
Jan 1, 2026
Amberwell HiawathaHiawatha, KS, CCN 17Z341 Hospital Corporate Officer
Corporate Director
W-2 Managing Employee		 Jan 1, 2026
Jan 1, 2026
Jan 1, 2026
Amberwell Highland ClinicHighland, KS, CCN 173491 Rural health clinic Corporate Director
W-2 Managing Employee		 Jan 1, 2026
Jan 1, 2025
Amberwell Hiawatha ClinicsHiawatha, KS, CCN 173464 Rural health clinic Corporate Officer
Corporate Director
W-2 Managing Employee		 Jan 1, 2026
Jan 1, 2026
Jan 1, 2026

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 10

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1104918630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 UTAH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342326",
            "telephone_number": "785-742-2131",
            "fax_number": "785-742-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UTAH ST STE 200",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342314",
            "telephone_number": "785-742-2161",
            "fax_number": "785-742-6558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Main St",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "KS",
            "postal_code": "660354143",
            "country_code": "US",
            "telephone_number": "785-442-3213",
            "fax_number": "785-442-5572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342326",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "fax_number": "785-742-6558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSA",
        "first_name": "PETER",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0426820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028793801",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "004030039",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100315890A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004382510001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, KS

Sources for this page

Verify at the official NPI Registry.