Edwin O Del Rosario, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J4642 Issued in TX

Practice address

8861 Davis Blvd
Suite 100
Keller, TX 76248-0306

Phone

(817) 431-5073

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1124087440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741454",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741454",
            "telephone_number": "817-431-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8861 DAVIS BLVD",
            "address_2": "SUITE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480306",
            "telephone_number": "817-431-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ROSARIO",
        "first_name": "EDWIN",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U1325",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129102306",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00680231",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Lynne Dean, LCSW
• Anne Marie Dearmond, LMFT ASSOCIATE
• Debra Krieg, MD PA
• Jaime Marie Decarlo
• Mary Joan Decker, APRN
• Robert Louis Delillo, DNP, CRNA, NSPM-C
• Ayana Demming
• Brooke Taylor Denny I
• Adam D. Denoble, DO
• Dentistry for Life, PA

• Internal Medicine Physician in Keller, TX
• Providers in Keller, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.