NPIMap

Individual provider Active NPI

David A De Rose, MD

  • Ophthalmology Physician
  • Allentown, PA
National Provider Identifier
1255443073
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD059105L Issued in PA
Practice address
1251 South Cedar Crest Blvd
Suite 307
Allentown, PA 18103
Phone
(610) 820-6320
Fax
(610) 820-8376
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD059105L PA Primary

Addresses

Primary practice location

1251 South Cedar Crest Blvd
Suite 307
Allentown, PA 18103

Mailing address

1251 South Cedar Crest Blvd
Suite 307
Allentown, PA 18103
Phone (610) 820-6320

Other identifiers 6

IdentifierTypeStateIssuer
37935OtherGEISINGER HEALTH PLAN
180034175OtherRAILROAD MEDICARE
807324OtherFIRST PRIORITY HEALTH
001721980MedicaidPA
506554OtherAETNA
DE891352OtherHIGH MARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100203000797 PA Practitioner - Ophthalmology 6507909249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hahnemann University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Retina Specialists, P.C.Group PAC ID 9638141989, 5 clinicians

Practice addresses (Care Compare)

1251 S Cedar Crest Blvd
Suite 307
Allentown, PA 18103-6214
Phone (610) 969-7505

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
90.17
Improvement activities
40
Cost
66.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD059105LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Retina Specialists, P.C. Ophthalmology CurrentSince Jun 15, 2010 Accepting new patients
Hamilton Surgical Institute, Inc. Past Accepting new patients
Advanced Dry Eye and Aesthetics Center PC PastSince Jun 15, 2010 Accepting new patients

Locations

5201 Hamilton Blvd
Fl 2
Allentown, PA 18106

1251 S Cedar Crest Blvd
Ste 307
Allentown, PA 18103
Phone (610) 820-6320

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.

Hospital & facility affiliations 11

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1255443073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 SOUTH CEDAR CREST BLVD",
            "address_2": "SUITE 307",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "610-820-6320",
            "fax_number": "610-820-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 SOUTH CEDAR CREST BLVD",
            "address_2": "SUITE 307",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "610-820-6320",
            "fax_number": "610-820-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ROSE",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD059105L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "37935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180034175",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "807324",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001721980",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "506554",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGH MARK BLUE SHIELD",
            "identifier": "DE891352",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.