Individual provider Active NPI

Marc Eliott Rosen, D.O.

  • Surgery Physician
  • Nashville, TN
National Provider Identifier
1174593271
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2048 Issued in TN
Practice address
410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone
(615) 329-7887
Fax
(615) 346-6225
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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 MB06786400 NJ
Surgery Physician 208600000X 2048 TN Primary

Addresses

Primary practice location

410 42ND Ave N Ste 400
Nashville, TN 37209-3658

Mailing address

410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 329-7887

Other identifiers 2

IdentifierTypeStateIssuer
1514543MedicaidTN
8539405MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090804000872 TN Practitioner - General Surgery 2264458272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
College of Osteo Med of the Pacific at Pomona, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Tennessee, PLLCGroup PAC ID 2961720313, 13 clinicians
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

2000 Murphy Ave
Nashville, TN 37203-2010
Phone (615) 284-4700

2004 Hayes St
Suite 350
Nashville, TN 37203-2650
Phone (615) 312-3333

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
70.45
Promoting interoperability
100
Improvement activities
40
Cost
73.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue22
Removal of skin lesions13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB06786400NJMDSurgery Physician
2048TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Surgical Clinic PLLC Surgery CurrentSince Sep 1, 2009 Accepting new patients
Healogics Specialty Physicians of Tennessee, PLLC Surgery CurrentSince Jun 1, 2024 Accepting new patients
Tennessee Oncology PLLC Surgery CurrentSince Dec 1, 2024 Accepting new patients
Rowansom Vascular Lab Past Accepting new patients
Rowansom Dept of Surgery Surgery Past Accepting new patients
Saint Thomas West Hospital Past Accepting new patients

Locations

310 21st Ave N
Nashville, TN 37203
Phone (629) 253-5300

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

2000 Murphy Ave
Nashville, TN 37203
Phone (615) 284-2800

2004 Hayes St
Ste 350
Nashville, TN 37203
Phone (615) 312-3333

310 21st Ave N
Ste A
Nashville, TN 37203

356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264

356 24th Ave N
Ste 400
Nashville, TN 37203

4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007

410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA

Organizations & group practices 6

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 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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1174593271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887",
            "fax_number": "615-346-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887",
            "fax_number": "615-346-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MARC",
        "middle_name": "ELIOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MB06786400",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "2048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514543",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8539405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.