David S Rosenberg, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

R5184 Issued in MO

Practice address

58 Meadowbrook Cntry CL Est
Ballwin, MO 63011-1699

Phone

(314) 420-6663

Fax

(636) 227-2299

NPI assigned

Feb 14, 2006

Last updated

Mar 19, 2020By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• The Woodlands of Maryland Heights LLC

  • Skilled Nursing Facility
  • Maryland Heights, MO
  • NPI 1487715793

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• SSM Medical Group, Inc.

  dba SSM Health Medical Group

  • Multi-Specialty Clinic/Center
  • Fenton, MO
  • NPI 1700966207

  Rheumatology

  Medicare reassignment NPD
• SSM Medical Group Inc.

  dba SSM Health Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Warrenton, MO
  • NPI 1467997155
  NPD
• Bentwood Healthcare LLC

  dba Bent-Wood Nursing Center

  • Skilled Nursing Facility
  • Florissant, MO
  • NPI 1265796387
  NPD (past)
• SSM Depaul Medical Group, Inc.

  dba DePaul Medical Group at Cross Keys

  • Family Medicine Physician
  • Florissant, MO
  • NPI 1952312951
  NPD (past)
• The Woodlands of Maryland Heights LLC

  • Skilled Nursing Facility
  • Maryland Heights, MO
  • NPI 1487715793
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1174597454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MEADOWBROOK CNTRY CL EST",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630111699",
            "telephone_number": "314-420-6663",
            "fax_number": "636-227-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MEADOWBROOK CNTRY CL EST",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630111699",
            "telephone_number": "314-420-6663",
            "fax_number": "636-227-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "R5184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00035718",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Roberts, GNP
• Tatonya Monique Roberts, FNP
• Kathleen Elam Rockwell, SPEECH AND LANGUAGE
• Melanie Rodman
• Caitlin Rojeski
• Roy Hillgartner Chiropractic LLC
• Christine Rubin, LMT
• Stephen Leonard Rubin
• Safe Transitions LLC
• Safe Transitions LLC

• Rheumatology Physician in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Rheumatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.