Individual provider Active NPI

Tomasz Aleksander Rosse, M.D.

  • Psychiatry Physician
  • Stanford, CA
National Provider Identifier
1245423136
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A92896 Issued in CA
Practice address
401 Quarry Road
Room 2204
Stanford, CA 94305-5723
Phone
(650) 725-5591
NPI assigned
Aug 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A92896 CA Primary

Addresses

Primary practice location

401 Quarry Road
Room 2204
Stanford, CA 94305-5723

Mailing address

401 Quarry Road
Room 2204
Stanford, CA 94305-5723
Phone (650) 725-5591

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
I20150806012555 CA Practitioner - Psychiatry 6305150178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Florida College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Momentum for HealthGroup PAC ID 2769377217, 41 clinicians

Practice addresses (Care Compare)

2001 The Alameda
San Jose, CA 95126-1136
Phone (408) 938-6750

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92896CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum for Health - FSP Imd CurrentSince May 11, 2015 Accepting new patients
Momentum for Health Current Accepting new patients
Momentum for Health CurrentSince May 11, 2015 Accepting new patients

Locations

2001 The Alameda
San Jose, CA 95126
Phone (408) 938-6750

1922 The Alameda
Ste 316
San Jose, CA 95126
Phone (408) 637-0341

Organizations & group practices 3

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1245423136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 QUARRY ROAD",
            "address_2": "ROOM 2204",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055723",
            "telephone_number": "650-725-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 QUARRY ROAD",
            "address_2": "ROOM 2204",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055723",
            "telephone_number": "650-725-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSE",
        "first_name": "TOMASZ",
        "middle_name": "ALEKSANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A92896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.