NPIMap

Individual provider Active NPI

Edward Jesus Rossario Jr., MD

  • Orthopaedic Surgery Physician
  • Port Saint Lucie, FL
National Provider Identifier
1235190091
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME69957 Issued in FL
Practice address
7710 S US Highway 1
Port Saint Lucie, FL 34952-2320
Phone
(772) 335-5300
Fax
(772) 878-7602
NPI assigned
Mar 31, 2006
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME69957 FL Primary

Addresses

Primary practice location

7710 S US Highway 1
Port Saint Lucie, FL 34952-2320

Mailing address

7710 S US Highway 1
Port Saint Lucie, FL 34952-2320
Phone (772) 335-5300

Other practice location 1

2221 SE Ocean Blvd
Stuart, FL 34996-3341
Phone (772) 283-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100513000957 FL Practitioner - Orthopedic Surgery 1355334533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Miami, LM Miller School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7710 S US Hwy 1
Port St Lucie, FL 34952-2320
Phone 77233553002015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement40
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME69957FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopaedics & Sports Medicine Center Orthopaedic Surgery CurrentSince Dec 5, 1998 Accepting new patients
Coastal Orthopaedics & Sports Medicine Center CurrentSince Dec 5, 1998 Accepting new patients

Locations

2215 Nebraska Ave
Ste 3-B
Fort Pierce, FL 34950
Phone (772) 465-2500

7710 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 335-5300

2221 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 283-4428

2221 SE Ocean Blvd
Ste 200
Stuart, FL 34996
Phone (772) 219-4096

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: edwardrossario@cos.directglo.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1235190091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-5300",
            "fax_number": "772-878-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 S US HIGHWAY 1",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349522320",
            "telephone_number": "772-335-5300",
            "fax_number": "772-878-7602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2221 SE Ocean Blvd",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349963341",
            "country_code": "US",
            "telephone_number": "772-283-5500",
            "fax_number": "772-200-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSARIO",
        "first_name": "EDWARD",
        "middle_name": "JESUS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME69957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.