Individual provider Active NPI

Karen Elizabeth Rosochowicz, MPH PAC

  • Physician Assistant
  • Port Richey, FL
National Provider Identifier
1245374677
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9102293 Issued in FL
Practice address
8220 US 19 North
Port Richey, FL 34668
Phone
(727) 841-8505
Fax
(727) 846-0561
NPI assigned
Feb 18, 2007
Last updated
Nov 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9102293 FL Primary

Addresses

Primary practice location

8220 US 19 North
Port Richey, FL 34668

Mailing address

8220 US 19 North
Port Richey, FL 34668
Phone (727) 841-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000304 FL Practitioner - Physician Assistant 2668573577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Dermatology and Cosmetic Surgery P aGroup PAC ID 7517851215, 25 clinicians

Practice addresses (Care Compare)

1130 Commercial Way
Spring Hill, FL 34606-4518
Phone (352) 688-5544

2525 S Pasadena Ave
St Petersburg, FL 33707-4566
Phone (727) 585-8591

7739 S Suncoast Blvd
Homosassa, FL 34446-5004
Phone (352) 688-5544

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9102293FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kratz Allergy Asthma & Immunology Associates PA Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: krosochowicz@bayderm.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1245374677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 US 19 NORTH",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "34668",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 US 19 NORTH",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "34668",
            "telephone_number": "727-841-8505",
            "fax_number": "727-846-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSOCHOWICZ",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MPH PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9102293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.