Individual provider Active NPI

Theresa Lindsay Rose, D.O.

  • Obstetrics & Gynecology Physician
  • Lake Forest, IL
National Provider Identifier
1174732770
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036145074 Issued in IL
Practice address
900 N Westmoreland Rd Ste 112
Lake Forest, IL 60045-1688
Phone
(847) 535-7057
Fax
(847) 615-2260
NPI assigned
May 21, 2007
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 125066048 IL
Women's Health Nurse Practitioner 363LW0102X ARNP9243415 FL
Obstetrics & Gynecology Physician 207V00000X 036145074 IL Primary

Addresses

Primary practice location

900 N Westmoreland Rd Ste 112
Lake Forest, IL 60045-1688

Mailing address

900 N Westmoreland Rd Ste 112
Lake Forest, IL 60045-1688
Phone (847) 535-7057

Other practice location 1

355 Ridge Ave
Presence St. Francis Hospital
Evanston, IL 60202
Phone (847) 316-6340

Other practice location 2

7380 N Lincoln Ave
Lincolnwood, IL 60712-1705
Phone (847) 568-7400

Other practice location 3

800 Austin St Ste 354
Evanston, IL 60202
Phone (847) 491-6890

Other names 1

  • Theresa Lindsay Zaita Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20180731000631 IL Practitioner - Obstetrics/Gynecology 1355699935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

900 N Westmoreland Rd
Suite 225
Lake Forest, IL 60045-1694
Phone (847) 295-1300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125066048ILMDObstetrics & Gynecology Physician
ARNP9243415FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Oct 1, 2019 Accepting new patients
Access Community Health Network CurrentSince Dec 10, 2018 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 1, 2019 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Dec 10, 2018 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

1723 Howard St
Evanston, IL 60202
Phone (224) 307-8550

900 N Westmoreland Rd
Ste 112
Lake Forest, IL 60045
Phone (847) 535-7057

900 N Westmoreland Rd
Ste 225
Lake Forest, IL 60045
Phone (847) 295-0433

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

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

Hospital & facility affiliations 2

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1174732770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD STE 112",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451688",
            "telephone_number": "847-535-7057",
            "fax_number": "847-615-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD STE 112",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451688",
            "telephone_number": "847-535-7057",
            "fax_number": "847-615-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Ridge Ave",
            "address_2": "Presence St. Francis Hospital",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "60202",
            "country_code": "US",
            "telephone_number": "847-316-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7380 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Lincolnwood",
            "state": "IL",
            "postal_code": "607121705",
            "country_code": "US",
            "telephone_number": "847-568-7400",
            "fax_number": "847-568-7440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Austin St Ste 354",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "60202",
            "country_code": "US",
            "telephone_number": "847-491-6890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "THERESA",
        "middle_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125066048",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9243415",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036145074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "ZAITA",
            "middle_name": "LINDSAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.