Active NPI
Peter Rosa, DC
- Chiropractor
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S04112
- Practice address
- 1001 Pine Heights Ave Ste 304
Baltimore, MD 21229-5285 - Phone
- (410) 878-2530
- Fax
- (667) 223-1982
- NPI assigned
- Oct 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S04112 | MD | Primary |
Addresses
Primary practice location
1001 Pine Heights Ave Ste 304
Baltimore, MD 21229-5285
Mailing address
30 W Gude Dr Ste 375
Rockville, MD 20850-4300
Phone (301) 545-0800
Other practice location 1
30 W Gude Dr Ste 375
Rockville, MD 20850-4300
Phone (301) 545-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Research CT
Suite 160
Rockville, MD 20850-3299
Phone (301) 545-0800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Heights Integrative Health, LLC | Current | Accepting new patients | |
| Rosa Chiropractic and Physical Therapy Center LLC | Chiropractor | Current | Accepting new patients |
Locations
1001 Pine Heights Ave
Ste 304
Baltimore, MD 21229
Phone (410) 646-0220
30 W Gude Dr
Ste 375
Rockville, MD 20850
Phone (301) 545-0800
1 Research Ct
Ste 160
Rockville, MD 20850
Phone (301) 363-7657
Organizations & group practices 2
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.
-
- Rehabilitation Chiropractor
- Baltimore, MD
- NPI 1861085607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1205590262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W GUDE DR STE 375",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504300",
"telephone_number": "301-545-0800",
"fax_number": "301-545-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PINE HEIGHTS AVE STE 304",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295285",
"telephone_number": "410-878-2530",
"fax_number": "667-223-1982"
}
],
"practiceLocations": [
{
"address_1": "30 W Gude Dr Ste 375",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208504300",
"country_code": "US",
"telephone_number": "301-545-0800",
"fax_number": "301-545-0885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSA",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S04112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.