Active NPI
James Keith Rose, M.D.
- Emergency Medicine Physician
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- J4486
- Practice address
- 5536 Saratoga Blvd
Corpus Christi, TX 78413-2944 - Phone
- (361) 992-0227
- Fax
- (361) 992-0669
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | J4486 | TX | |
| Emergency Medicine Physician | 207P00000X | J4486 | TX | Primary |
Addresses
Primary practice location
5536 Saratoga Blvd
Corpus Christi, TX 78413-2944
Mailing address
5536 Saratoga Blvd
Corpus Christi, TX 78413-2944
Phone (361) 992-0227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084171001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Texas Medical Branch at Galveston, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Northshore Blvd
Portland, TX 78374-4206
Phone (361) 480-0334
4637 S Padre Island Dr
Corpus Christi, TX 78411-4413
Phone (361) 852-6824
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4486 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CC Doctors Center Portland, PLLC | Emergency Medicine | Current | Accepting new patients |
| Daniela Badea-Mic MD, PA | Past | Accepting new patients | |
| Thirty Third Health Services, PLLC | Past | Accepting new patients |
Locations
4637 Spid Dr
Corpus Christi, TX 78411
Phone (361) 452-5632
125 Northshore Blvd
Portland, TX 78374
Phone (361) 480-0334
Interoperability endpoints
- james.rose.1@31783.direct.athenahealth.com
Organizations & group practices 5
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.
-
- General Practice Physician
- Portland, TX
- NPI 1821544396
Emergency Medicine
-
- General Practice Physician
- Corpus Christi, TX
- NPI 1346395928
-
- General Practice Physician
- Corpus Christi, TX
- NPI 1861547234
-
- Psychiatry Physician
- Corpus Christi, TX
- NPI 1932380029
-
- Internal Medicine Physician
- Corpus Christi, TX
- NPI 1497374862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1225192248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5536 SARATOGA BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784132944",
"telephone_number": "361-992-0227",
"fax_number": "361-992-0669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5536 SARATOGA BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784132944",
"telephone_number": "361-992-0227",
"fax_number": "361-992-0669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "JAMES",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "J4486",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "J4486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084171001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.