Individual provider Active NPI

Claire Brabec Rosenblatt, M.D.

  • Allergy & Immunology Physician
  • Jackson, MS
National Provider Identifier
1124315742
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
23121 Issued in MS
Practice address
1513 Lakeland Dr
Suite 101
Jackson, MS 39216-4829
Phone
(601) 354-4836
Fax
(601) 354-2619
NPI assigned
Jul 3, 2011
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 23121 MS Primary
Internal Medicine Physician 207R00000X 23121 MS

Addresses

Primary practice location

1513 Lakeland Dr
Suite 101
Jackson, MS 39216-4829

Mailing address

1513 Lakeland Dr
Suite 101
Jackson, MS 39216-4829
Phone (601) 354-4836

Other names 1

  • Dr. Susan Claire Brabec Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20160624001162 MS Practitioner - Allergy/Immunology 9830492933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Mississippi School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Mississippi Asthma and Allergy Clinic PAGroup PAC ID 7416993522, 14 clinicians

Practice addresses (Care Compare)

2886 S Lamar Blvd
Oxford, MS 38655-5347
Phone (662) 234-2420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.53 of 100Reported as group
Quality
61.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23121MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Asthma & Allergy Clinic PA Allergy & Immunology CurrentSince Aug 1, 2016 Accepting new patients

Locations

1513 Lakeland Dr
Ste 101
Jackson, MS 39216
Phone (601) 354-4836

2886 S Lamar Blvd
Oxford, MS 38655
Phone (601) 236-7888

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1309651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124315742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 LAKELAND DR",
            "address_2": "SUITE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164829",
            "telephone_number": "601-354-4836",
            "fax_number": "601-354-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 LAKELAND DR",
            "address_2": "SUITE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164829",
            "telephone_number": "601-354-4836",
            "fax_number": "601-354-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "CLAIRE",
        "middle_name": "BRABEC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MS",
            "license": "23121",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "23121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BRABEC",
            "middle_name": "CLAIRE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.