Individual provider Active NPI

Maria Isabel Rosso, M.D.

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1194919100
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
060864 Issued in GA
Practice address
4166 Buford Hwy NE
Suite 1102
Atlanta, GA 30345-1081
Phone
(404) 785-8160
NPI assigned
Sep 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.200995 LA
Pediatrics Physician 208000000X 060864 GA Primary

Addresses

Primary practice location

4166 Buford Hwy NE
Suite 1102
Atlanta, GA 30345-1081

Mailing address

4166 Buford Hwy NE
Suite 1102
Atlanta, GA 30345-1081
Phone (404) 785-8160

Other identifiers 1

IdentifierTypeStateIssuer
1238074MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160524000681 GA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9537458930

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
060864GAMDPediatrics Physician
MD.200995LAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: mrosso29737@choa.gadirect.net

NPI Registry JSON

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1194919100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4166 BUFORD HWY NE",
            "address_2": "SUITE 1102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451081",
            "telephone_number": "404-785-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4166 BUFORD HWY NE",
            "address_2": "SUITE 1102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451081",
            "telephone_number": "404-785-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSO",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-03",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.200995",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "060864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1238074",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.