Active NPI
Alvin I. Rosenthal, M.D.
- Surgery of the Hand (Plastic Surgery) Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- 39926
- Practice address
- 575 Professional Dr Ste 285
Lawrenceville, GA 30046-3355 - Phone
- (770) 682-3375
- Fax
- (770) 682-3387
- NPI assigned
- Jul 11, 2006
- Last updated
- Dec 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 39926 | GA | Primary |
Addresses
Primary practice location
575 Professional Dr Ste 285
Lawrenceville, GA 30046-3355
Mailing address
575 Professional Dr Ste 285
Lawrenceville, GA 30046-3355
Phone (770) 682-3375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Missouri, Columbia School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
3605 Braselton Hwy
Suite 101
Dacula, GA 30019-4666
Phone (770) 904-0772
500 Medical Ctr Blvd
Suite 150
Lawrenceville, GA 30046
575 Professional Dr
Suite 285
Lawrenceville, GA 30046-3300
575 Professional Dr
Suite 285
Lawrenceville, GA 30046-3355
Phone (770) 682-3375
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39926 | GA | MD | Surgery of the Hand (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgery of Gwinnett PC | Current | Accepting new patients |
Locations
500 Medical Center Blvd
Ste 150
Lawrenceville, GA 30046
Phone (770) 682-3375
575 Professional Dr
Ste 285
Lawrenceville, GA 30046
Phone (678) 894-4147
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.
-
- Specialist
- Lawrenceville, GA
- NPI 1386995470
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Duluth
- General Acute Care Hospital
- Duluth, GA
- NPI 1790715381
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1134154016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 PROFESSIONAL DR STE 285",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463355",
"telephone_number": "770-682-3375",
"fax_number": "770-682-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 PROFESSIONAL DR STE 285",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463355",
"telephone_number": "770-682-3375",
"fax_number": "770-682-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "ALVIN",
"middle_name": "I.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "GA",
"license": "39926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.