Christian M Rose, MD, CAQSM

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

282318 Issued in MA

Practice address

25 Carleton St
Cambridge, MA 02142-1323

Phone

(617) 253-4481

NPI assigned

Mar 20, 2017

Last updated

Dec 5, 2024By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Family Practice

Education

University of Massachusetts Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massachusetts Institute of TechnologyGroup PAC ID 5597658666, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Auburn Hospital Hospital, Cambridge, MA, CCN 220002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crose209401@direct.ochin.org
• FHIR API: https://api.platform.athenahealth.com/4368/brand/1/csg/1/fhir/r4

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.

• Massachusetts Institute of Technology

  dba MIT Health

  • Multi-Specialty Clinic/Center
  • Cambridge, MA
  • NPI 1346308723
  Medicare reassignment Care Compare group NPD
• Manet Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • North Quincy, MA
  • NPI 1114027539
  Medicare reassignment NPD
• Manet Community Health Center, Inc.

  dba Manet Community Health Center at Taunton Public Schools

  • Federally Qualified Health Center (FQHC)
  • Taunton, MA
  • NPI 1063123271
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mount Auburn Hospital

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1689670259
  Care Compare affiliation

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1194266395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CARLETON ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421323",
            "telephone_number": "617-253-4481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 West Squantum Street",
            "address_purpose": "LOCATION",
            "city": "North Quincy",
            "state": "MA",
            "postal_code": "021712122",
            "country_code": "US",
            "telephone_number": "617-376-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Melnea Cass Blvd",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021194401",
            "country_code": "US",
            "telephone_number": "617-414-2080",
            "fax_number": "617-414-2090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CHRISTIAN",
        "middle_name": "M",
        "credential": "MD, CAQSM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "282318",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MA",
            "license": "282318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3133401",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110126963A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosaline F. Barron, MD
• Joseph Rosansky, PHD
• Rosario Alvarez DMD,PC (Alvarez Dental Group)
• John Rosario, PSY.D.
• Amy Greene Rose-Schweppe, RN
• Erica Rose, R.PH
• Leah K Rose
• Vanessa Roseau
• Adam P Rosen, PHD
• Wendy Rosen, MSW,PHD

• Sports Medicine (Family Medicine) Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Sports Medicine (Family Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.