Active NPI
Brooke Vala Rossi, MD
- Reproductive Endocrinology Physician
- Beachwood, OH
National Provider Identifier
1265441794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 35-097493
- Practice address
- 1000 Auburn Dr # 300
Beachwood, OH 44122-4317 - Phone
- (216) 285-5028
- Fax
- (216) 201-5385
- NPI assigned
- Aug 5, 2006
- Last updated
- Aug 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Reproductive Endocrinology Physician | 207VE0102X | 35-097493 | OH | Primary |
Addresses
Primary practice location
1000 Auburn Dr # 300
Beachwood, OH 44122-4317
Mailing address
24701 Euclid Ave
Euclid, OH 44117-1714
Phone (216) 285-5028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-097493 | OH | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Ohio Reproductive Medicine | Past | Accepting new patients |
Interoperability endpoints
- brossi664920@direct.osumc.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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Specialist
- Columbus, OH
- NPI 1467597401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1265441794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714",
"telephone_number": "216-285-5028",
"fax_number": "216-201-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 AUBURN DR # 300",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224317",
"telephone_number": "216-285-5028",
"fax_number": "216-201-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSI",
"first_name": "BROOKE",
"middle_name": "VALA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "OH",
"license": "35-097493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.