Individual provider Active NPI

Steven Peter Rosenberg, MD

  • Dermatology Physician
  • West Palm Beach, FL
National Provider Identifier
1114909108
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0036848 Issued in FL
Practice address
470 Columbia Dr
#102A
West Palm Beach, FL 33409-1997
Phone
(561) 640-4400
Fax
(561) 640-8098
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME0036848 FL Primary

Addresses

Primary practice location

470 Columbia Dr
#102A
West Palm Beach, FL 33409-1997

Mailing address

470 Columbia Dr
#102A
West Palm Beach, FL 33409-1997
Phone (561) 640-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110120000154 FL Practitioner - Dermatology 1254319783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach DermatologyGroup PAC ID 6709864218, 19 clinicians

Practice addresses (Care Compare)

470 Columbia Dr
Suite A102
West Palm Beach, FL 33409-1983
Phone (561) 640-4400

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision87
Removal of tissue1-10
Removal of skin lesions1572
Removal of skin cancer41
Removal or shaving of skin growth13
Skin biopsy741

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0036848FLMDDermatology Physician

Organizations & group practices 1

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1114909108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 COLUMBIA DR",
            "address_2": "#102A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091997",
            "telephone_number": "561-640-4400",
            "fax_number": "561-640-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 COLUMBIA DR",
            "address_2": "#102A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091997",
            "telephone_number": "561-640-4400",
            "fax_number": "561-640-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "STEVEN",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0036848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.