Active NPI
Atena Mia Rosak, MD, MPH, FACS
- Surgery Physician
- Towson, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0066120
- 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, 2014
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0066120 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| University of Maryland St. Joseph Medical Group, LLC | Current | 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
- 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.
-
dba University of Maryland St. Joseph Medical Group
- General Practice Physician
- Towson, MD
- NPI 1770836785
-
- Surgical Assistant
- Towson, MD
- NPI 1053816074
-
- Multi-Specialty Clinic/Center
- Towson, MD
- NPI 1699862961
-
- Multi-Specialty Clinic/Center
- Towson, MD
- NPI 1518143304
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland St. Joseph Medical Center
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
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
- Joshua Romanchuk
- Nancy Rombro, SLP
- Sarah Ann Romeiser, MS, CCC-SLP
- Ahminyah Kalea Rooks
- Rooted and Grounded Wellness Services LLC
- Imani Rose
- Phaedra Starr Rose
- Rosemary Anderson & Associates LLC (Rosemary A. Anderson and Associates)
- Rosen Hoffberg Rehabilitation and Pain Management Associates PA
- Rosen-Hoffberg Rehabilitation & Pain Management
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.