Michael James Rosedale, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R2459 Issued in TX

Practice address

11901 Toepperwein Rd
Suite 1201
Live Oak, TX 78233-3161

Phone

(210) 650-9066

Fax

(210) 650-9067

NPI assigned

Jun 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Western University of Health Sciences College of Dental Med, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Caritas Family Medicine PAGroup PAC ID 3678540648, 3 clinicians

Barrio Comprehensive Family Health Care Center,IncGroup PAC ID 1153226691, 63 clinicians

Methodist Carenow Urgent Care PLLCGroup PAC ID 3274808043, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Texas Home health agency, San Antonio, TX, CCN 679174

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Caritas Family Medicine PA

  • Family Medicine Physician
  • Live Oak, TX
  • NPI 1215042189
  Medicare reassignment Care Compare group NPD
• Barrio Comprehensive Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Antonio, TX
  • NPI 1902883739
  Medicare reassignment Care Compare group
• Methodist Carenow Urgent Care PLLC

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1083154207
  Medicare reassignment Care Compare group
• Barrio Comprehensive Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boerne, TX
  • NPI 1104207208
  NPD
• Barrio Comprehensive Family Health Care Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Marcos, TX
  • NPI 1295601052
  NPD

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

• Texas Home Health Skilled Services,LP

  • Home Health Agency
  • San Antonio, TX
  • NPI 1396968491
  Care Compare affiliation

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1205096906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19106 MAZATTAN WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562342",
            "telephone_number": "707-495-0922",
            "fax_number": "210-650-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 TOEPPERWEIN RD",
            "address_2": "SUITE 1201",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333161",
            "telephone_number": "210-650-9066",
            "fax_number": "210-650-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEDALE",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R2459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Luis Rodriguez III, MD
• Justin Rodriguez, PT, DPT
• Roxanne Rodriguez, P.A.-C
• Brandy Elizabeth Rogers
• Rohit Kapoor MD PA
• James Earl Ross Jr., MD
• Bo Ram Roth
• Mikailla Roundtree
• Crystal Marie Ruiz, LVN
• Kristina Ruiz

• Family Medicine Physician in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.