Individual provider Active NPI

Atena Mia Rosak, MD, MPH, FACS

  • Surgery Physician
  • Towson, MD
National Provider Identifier
1265526743
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0066120 Issued in MD
Practice address
7505 Osler Dr
O'Dea Medical Arts Building, Suite 308
Towson, MD 21204-7736
Phone
(410) 427-5430
Fax
(410) 427-5409
NPI assigned
Oct 2, 2006
Last updated
Apr 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 1078 NH
Surgery Physician 208600000X D0066120 MD Primary

Addresses

Primary practice location

7505 Osler Dr
O'Dea Medical Arts Building, Suite 308
Towson, MD 21204-7736

Mailing address

PO Box 79035
Baltimore, MD 21279-0035
Phone (410) 337-1386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070816000061 MD Practitioner - General Surgery 5496847774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tufts University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 A Mount Carmel Rd
Parkton, MD 21120-9721
Phone (410) 337-4877

750 Main St
Suite 310
Reisterstown, MD 21136-2517
Phone (410) 526-7800

7505 Osler Dr
Towson, MD 21204-7739

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-1379

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0066120MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Dec 1, 2012 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Dec 1, 2012 Accepting new patients
St. Joseph Physician Enterprise Past Accepting new patients
Saint Joseph Medical Center , Inc. Past Accepting new patients

Locations

7505 Osler Dr
Ste 308
Towson, MD 21204
Phone (410) 296-1464

7505 Osler Dr
Ste 310
Towson, MD 21204
Phone (410) 321-8720

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: arosak109650@direct.umm.edu

Organizations & group practices 4

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 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1265526743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79035",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790035",
            "telephone_number": "410-337-1386",
            "fax_number": "410-337-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR",
            "address_2": "O'DEA MEDICAL ARTS BUILDING, SUITE 308",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047736",
            "telephone_number": "410-427-5430",
            "fax_number": "410-427-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAK",
        "first_name": "ATENA",
        "middle_name": "MIA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, FACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "1078",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0066120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.