Individual provider Active NPI

Natasha Eaddy Rose, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Pearland, TX
National Provider Identifier
1184810657
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M7155 Issued in TX
Practice address
3827 Addison Dr
Pearland, TX 77584-3023
Phone
(281) 412-0955
Fax
(281) 412-0956
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X M7155 TX Primary

Addresses

Primary practice location

3827 Addison Dr
Pearland, TX 77584-3023

Mailing address

PO Box 841706
Pearland, TX 77584-0021
Phone (281) 412-0955

Other identifiers 1

IdentifierTypeStateIssuer
189053501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20071204000447 TX Practitioner - Physical Medicine and Rehabilitation 3476642117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Michigan Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2121 Business Ctr Dr
Pearland, TX 77584-2153
Phone (346) 907-3000

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Pasadena, TX, CCN 678260
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
  • Encompass Health Rehabilitation Hospital of Pearla Inpatient rehabilitation facility, Pearland, TX, CCN 673066
  • Tirr Memorial Hermann Inpatient rehabilitation facility, Houston, TX, CCN 453025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7155TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natasha E. Rose, MD, PA Physical Medicine & Rehabilitation CurrentSince Aug 18, 2011 Accepting new patients
Encompass Health Rehabilitation Hospital of Pearland, LLC Past Accepting new patients

Locations

902 Frostwood Dr
Ste 242
Houston, TX 77024
Phone (281) 501-1515

21720 Kingsland Blvd
Ste 102
Katy, TX 77450
Phone (281) 412-0955

2121 Business Center Dr
Pearland, TX 77584
Phone (346) 200-8849

Organizations & group practices 2

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 10

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1184810657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841706",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840021",
            "telephone_number": "281-412-0955",
            "fax_number": "281-412-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 ADDISON DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843023",
            "telephone_number": "281-412-0955",
            "fax_number": "281-412-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "NATASHA",
        "middle_name": "EADDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M7155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189053501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.