Individual provider Active NPI

Martin Lester Rossman, MD

  • General Practice Physician
  • Greenbrae, CA
National Provider Identifier
1235238791
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C032668 Issued in CA
Practice address
1341 S Eliseo Dr Ste 350
Greenbrae, CA 94904-2000
Phone
(415) 925-8600
Fax
(415) 925-8604
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C032668 CA Primary

Addresses

Primary practice location

1341 S Eliseo Dr Ste 350
Greenbrae, CA 94904-2000

Mailing address

1341 S Eliseo Dr Ste 350
Greenbrae, CA 94904-2000
Phone (415) 925-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20110916000084 CA Practitioner - General Practice 0941348866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Michigan Medical School, 1969
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1341 S Eliseo Dr
Suite 350
Greenbrae, CA 94904-2000
Phone (415) 925-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C032668CAMDGeneral Practice Physician
32668CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin L. Rossman, M.D., a Professional Corporation General Practice CurrentSince Jan 1, 1966 Accepting new patients

Locations

1341 S Eliseo Dr
Ste 350
Greenbrae, CA 94904
Phone (415) 925-8600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235238791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 S ELISEO DR STE 350",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042000",
            "telephone_number": "415-925-8600",
            "fax_number": "415-925-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 S ELISEO DR STE 350",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042000",
            "telephone_number": "415-925-8600",
            "fax_number": "415-925-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "MARTIN",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C032668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.