Individual provider Active NPI

Kevin I Rosenberg, MD

  • Retina Specialist (Ophthalmology) Physician
  • Liverpool, NY
National Provider Identifier
1255560157
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
257473 Issued in NY
Practice address
200 Greenfield Pkwy
Liverpool, NY 13088-6655
Phone
(315) 445-8166
Fax
(315) 445-2697
NPI assigned
Jul 13, 2009
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301102419 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 257473 NY Primary

Addresses

Primary practice location

200 Greenfield Pkwy
Liverpool, NY 13088-6655

Mailing address

200 Greenfield Pkwy
Liverpool, NY 13088-6655
Phone (315) 445-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150511001283 NY Practitioner - Ophthalmology 0749422046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina-Vitreous Surgeons of Central New York PCGroup PAC ID 4385622927, 6 clinicians
Ophthalmology Medical Service Group IncGroup PAC ID 0446248033, 30 clinicians

Practice addresses (Care Compare)

200 Greenfield Pkwy
Liverpool, NY 13088-6655
Phone (315) 445-8166

550 Harrison St L
Syracuse, NY 13202-3188
Phone (315) 464-5230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
95.16
Promoting interoperability
100
Improvement activities
40
Cost
56.96

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257473NYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina-Vitreous Surgeons of Central New York, PC Ophthalmology CurrentSince Apr 15, 2015 Accepting new patients
Ophthalmology Medical Service Group Inc Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients

Locations

200 Greenfield Pkwy
Liverpool, NY 13088
Phone (315) 445-8166

3107 E Genesee St
Syracuse, NY 13224
Phone (315) 299-5313

4104 Vestal Rd
Ste 103
Vestal, NY 13850
Phone (315) 445-8166

400 Washington St
Watertown, NY 13601
Phone (315) 782-0492

Interoperability endpoints

  • Direct secure messaging: krosenberg@hiemail.healtheconnections.org
  • Direct secure messaging: krosenberg52815@direct.upstate.edu

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 2

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1255560157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GREENFIELD PKWY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886655",
            "telephone_number": "315-445-8166",
            "fax_number": "315-445-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GREENFIELD PKWY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886655",
            "telephone_number": "315-445-8166",
            "fax_number": "315-445-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "KEVIN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-13",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301102419",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "257473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.