NPIMap

Individual provider Active NPI

David Rose

  • Diagnostic Radiology Physician
  • Altoona, PA
National Provider Identifier
1194973735
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD441702 Issued in PA
Practice address
620 Howard Ave
Altoona, PA 16601-4804
Phone
(254) 742-4507
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X N4710 TX
Diagnostic Radiology Physician 2085R0202X MD441702 PA Primary

Addresses

Primary practice location

620 Howard Ave
Altoona, PA 16601-4804

Mailing address

2636 Manor Dr
Hollidaysburg, PA 16648-2986
Phone (814) 317-7707

Other practice location 1

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000 ext. 6764

Other practice location 2

1700 Old Gatesburg Rd Ste 100
State College, PA 16803-2276
Phone (814) 278-3280

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110621000518 PA Practitioner - Diagnostic Radiology 7113111436 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Baylor College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Nittany Medical Center Health Services IncGroup PAC ID 8426136797, 366 clinicians

Practice addresses (Care Compare)

1700 Old Gatesburg Rd
Suite 100
State College, PA 16803-2276
Phone (814) 237-3360

Hospital & facility affiliations

  • Mount Nittany Medical Center Hospital, State College, PA, CCN 390268
  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Geisinger-Lewistown Hospital Hospital, Lewistown, PA, CCN 390048
  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Dubois Regional Medical Center Diagnostic Radiology CurrentSince Aug 25, 2023 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Sep 28, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Aug 1, 2023 Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Jan 1, 2025 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Sep 28, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Aug 1, 2023 Accepting new patients
Upmc Altoona Regional Health Services, Inc Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Monongahela Valley Hospital Inc Current Accepting new patients
Dubois Regional Medical Center CurrentSince Aug 25, 2023 Accepting new patients
Highlands Hospital and Health Center CurrentSince Aug 25, 2023 Accepting new patients
Highlands Hospital and Health Center CurrentSince Aug 25, 2023 Accepting new patients

Locations

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

1700 Old Gatesburg Rd
Ste 100
State College, PA 16803
Phone (814) 237-3360

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 69

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

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1194973735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 MANOR DR",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482986",
            "telephone_number": "814-317-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014804",
            "telephone_number": "254-742-4507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000 x6764",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Old Gatesburg Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032276",
            "country_code": "US",
            "telephone_number": "814-278-3280",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N4710",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD441702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.