Individual provider Active NPI

Carlos Alberto Rosales, MD

  • Vascular Surgery Physician
  • Monroeville, PA
National Provider Identifier
1164626743
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD436862 Issued in PA
Practice address
2566 Haymaker Rd Ste 203
Monroeville, PA 15146-3554
Phone
(412) 858-7088
Fax
(412) 858-7016
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD436862 PA
Vascular Surgery Physician 2086S0129X MD436862 PA Primary

Addresses

Primary practice location

2566 Haymaker Rd Ste 203
Monroeville, PA 15146-3554

Mailing address

2566 Haymaker Rd Ste 203
Monroeville, PA 15146-3554
Phone (412) 858-7088

Other identifiers 2

IdentifierTypeStateIssuer
11975315OtherCAQH
102322098MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crosales11343@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090714000634 PA Practitioner - Vascular Surgery 0446302947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Pittsburgh School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

155 E State St
Albion Family Practice
Albion, PA 16401-1347
Phone (814) 756-4917

1600 Pacific Ave
Suite 9
Natrona Heights, PA 15065-2138
Phone (724) 226-0773

2315 Myrtle St
Suite L10
Erie, PA 16502-4611
Phone (814) 454-2401

232 W 25TH St
Erie, PA 16544-0002

Hospital & facility affiliations

  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Ahn Wexford Hospital Hospital, Wexford, PA, CCN 390334
  • Allegheny Valley Hospital Hospital, Natrona, PA, CCN 390032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD436862PAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 28, 2009 Accepting new patients
St Vincent Medical Education and Research Institute Inc Surgery CurrentSince Jun 1, 2014 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Jul 28, 2009 Accepting new patients
West Penn Allegheny Health System Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

2566 Haymaker Rd
Ste 201
Monroeville, PA 15146
Phone (412) 359-3457

2566 Haymaker Rd
Ste 203
Monroeville, PA 15146
Phone (412) 856-8755

1600 Pacific Ave
Ste 9
Natrona Heights, PA 15065
Phone (412) 226-0773

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4815 Liberty Ave
Ste 439
Pittsburgh, PA 15224
Phone (412) 578-3925

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

Interoperability endpoints

  • Direct secure messaging: crosales11343@direct.ahn.org
  • Direct secure messaging: crosales365532@wellspan.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1164626743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 HAYMAKER RD STE 203",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463554",
            "telephone_number": "412-858-7088",
            "fax_number": "412-858-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 HAYMAKER RD STE 203",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463554",
            "telephone_number": "412-858-7088",
            "fax_number": "412-858-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD436862",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD436862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11975315",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102322098",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crosales11343@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2566 Haymaker Rd Ste 203",
            "city": "Monroeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151463554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.