Active NPI
Carl E. Rosenberg, M.D.
- Neurology Physician
- Cuyahoga Falls, OH
National Provider Identifier
1124069737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35.061393
- Practice address
- 267 Portage Trail Ext W
Suite 100
Cuyahoga Falls, OH 44223-3613 - Phone
- (330) 923-0228
- Fax
- (330) 923-1020
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD072064L | PA | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | MD072064L | PA | |
| Neurology Physician | 2084N0400X | 35.061393 | OH | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 35-061393 | OH |
Addresses
Primary practice location
267 Portage Trail Ext W
Suite 100
Cuyahoga Falls, OH 44223-3613
Mailing address
267 Portage Trail Ext W
Suite 100
Cuyahoga Falls, OH 44223-3613
Phone (330) 923-0228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01972086 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050317001044 | OH | Practitioner - Neurology | 2567417918 | Practice locations: Cuyahoga Falls, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD072064L | PA | MD | Neurology Physician |
| 35-061393 | OH | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Respiratory Support Services | Past | Accepting new patients | |
| University Neurologists Association,Inc | Neurology | Past | Accepting new patients |
| Ani, LLC | Past | Accepting new patients |
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.
-
- Physiological Laboratory
- Cuyahoga Falls, OH
- NPI 1487985776
-
- Neuroscience Clinical Nurse Specialist
- Cleveland, OH
- NPI 1871531210
Neurology
-
- Specialist
- Birmingham, AL
- NPI 1356387344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1124069737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 PORTAGE TRAIL EXT W",
"address_2": "SUITE 100",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442233613",
"telephone_number": "330-923-0228",
"fax_number": "330-923-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 PORTAGE TRAIL EXT W",
"address_2": "SUITE 100",
"city": "CUYAHOGA FALLS",
"state": "OH",
"postal_code": "442233613",
"telephone_number": "330-923-0228",
"fax_number": "330-923-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "CARL",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD072064L",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "PA",
"license": "MD072064L",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.061393",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "OH",
"license": "35-061393",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01972086",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cuyahoga Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.