NPIMap

Individual provider Active NPI

Roger P Rose, DO

  • Family Medicine Physician
  • Sun Lakes, AZ
National Provider Identifier
1184615734
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2939 Issued in AZ
Practice address
10440 E Riggs Rd Ste 203
Sun Lakes, AZ 85248-7755
Phone
(480) 378-2253
Fax
(480) 378-3658
NPI assigned
Nov 2, 2005
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2939 AZ Primary

Addresses

Primary practice location

10440 E Riggs Rd Ste 203
Sun Lakes, AZ 85248-7755

Mailing address

10440 E Riggs Rd Ste 203
Sun Lakes, AZ 85248-7755
Phone (480) 378-2253

Other practice location 1

10450 E Riggs Rd #114
Sun Lakes, AZ 85248-7760
Phone (480) 505-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060718000267 AZ Practitioner - Family Practice 8224023726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10440 E Riggs Rd
Suite 203
Sun Lakes, AZ 85248-7755
Phone (480) 297-5400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2939AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roger P. Rose, PLLC Family Medicine CurrentSince Jun 2, 2020 Accepting new patients
Access Wellness Resources Family Medicine CurrentSince Jan 25, 2025 Accepting new patients
Sun Lakes Family Physicians LLC Family Medicine CurrentSince May 1, 2001 Accepting new patients
Sun Lakes Health Care, PC Past Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients

Locations

10440 E Riggs Rd
Ste 203
Sun Lakes, AZ 85248
Phone (480) 297-5400

10450 E Riggs Rd
Ste 114
Sun Lakes, AZ 85248
Phone (480) 505-2450

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4
  • Direct secure messaging: roger.rose.1@21212.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1184615734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 E RIGGS RD STE 203",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487755",
            "telephone_number": "480-378-2253",
            "fax_number": "480-378-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 E RIGGS RD STE 203",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487755",
            "telephone_number": "480-378-2253",
            "fax_number": "480-378-3658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10450 E Riggs Rd #114",
            "address_purpose": "LOCATION",
            "city": "Sun Lakes",
            "state": "AZ",
            "postal_code": "852487760",
            "country_code": "US",
            "telephone_number": "480-505-2450",
            "fax_number": "480-505-2465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ROGER",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

Sources for this page

Verify at the official NPI Registry.