Individual provider Active NPI

Trevor Rosenlof, M.D.

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1194102095
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
57921 Issued in AZ
Practice address
6422 E Speedway Blvd Ste 100
Tucson, AZ 85710-1151
Phone
(520) 327-3487
NPI assigned
Apr 29, 2015
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X 57921 AZ Primary

Addresses

Primary practice location

6422 E Speedway Blvd Ste 100
Tucson, AZ 85710-1151

Mailing address

1924 Alcoa Hwy
Department of Medicine U-114 GSM, Utmck
Knoxville, TN 37920-1511
Phone (865) 305-9340

Other practice location 1

2177 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 327-3487

Other practice location 2

395 N Silverbell Rd Ste 255
Tucson, AZ 85745-2714
Phone (520) 327-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190612002351 AZ Practitioner - Ophthalmology 7719210426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sean J McCafferty MD PCGroup PAC ID 9931187325, 17 clinicians

Practice addresses (Care Compare)

6422 E Speedway Blvd
Suite 100
Tucson, AZ 85710-1151
Phone (520) 327-3487

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery134

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cornea Associates, PLLC Ophthalmology CurrentSince Jul 1, 2019 Accepting new patients
Sean J. McCafferty, MD, PC Ophthalmology CurrentSince Jul 1, 2019 Accepting new patients
Christopher M Seniw MD PC Ophthalmology PastSince Nov 11, 2002 Accepting new patients

Locations

2177 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 797-2020

395 N Silverbell Rd
Ste 255
Tucson, AZ 85745

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

Interoperability endpoints

  • Direct secure messaging: trosenlof@aec.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1194102095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HWY",
            "address_2": "DEPARTMENT OF MEDICINE U-114 GSM, UTMCK",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201511",
            "telephone_number": "865-305-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 E SPEEDWAY BLVD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101151",
            "telephone_number": "520-327-3487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2177 W Orange Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413118",
            "country_code": "US",
            "telephone_number": "520-327-3487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 N Silverbell Rd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452714",
            "country_code": "US",
            "telephone_number": "520-327-3487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENLOF",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "57921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.