Mary Ann Rose, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD2015-0619 Issued in NM

Practice address

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Phone

(505) 913-8900

NPI assigned

Nov 30, 2005

Sex

Female

Sole proprietor

No

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.

• PHC-Las Cruces Inc

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1164445136

  NM

  Medicare reassignment NPD
• PHC Las Cruces Inc

  • Infectious Disease Physician
  • Las Cruces, NM
  • NPI 1942581202
  NPD
• PHC Las Cruces Inc.

  • Specialist
  • Las Cruces, NM
  • NPI 1497069397
  NPD
• Cabrillo Surgery Center

  • Ambulatory Surgical Clinic/Center
  • San Diego, CA
  • NPI 1154554160
  NPD (past)
• Regents of the University of California

  • Radiation Oncology Clinic/Center
  • Chula Vista, CA
  • NPI 1134450596
  NPD (past)
• Regents of the University of California

  • Radiation Oncology Clinic/Center
  • Encinitas, CA
  • NPI 1548419526
  NPD (past)
• Regents of the University of California

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1558463927

  Radiation Oncology

  NPD (past)
• Valley Radiotherapy Associates Medical Group Inc

  • Specialist
  • Manhattan Beach, CA
  • NPI 1437102092
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 6, 2016.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1114901469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-913-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "C43111",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NM",
            "license": "MD2015-0619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C431110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosalie Lipfert Psychotherapy
• Rosalita LLC
• Emma Blanche Rosas
• Christopher Rose, INTERN MENTAL HEALTH
• Lauren Rose
• Sven Eben Rose, M.D.
• Rosemont Assisted Living & Alzheimers Community
• Patricia Marie Rosen, CNM CFNP
• Stephanie Anne Rosen, MD
• Yitzhak Joel Rosen, MD

• All providers in Santa Fe, NM
• Radiation Oncology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.