NPIMap

Organization Active NPI

George Roso, M.D., P.L.L.C

  • Family Medicine Physician
  • Chandler, AZ
National Provider Identifier
1265619308
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27616 Issued in AZ
Legal business name
GEORGE ROSO, M.D., P.L.L.C
Practice address
255 S Dobson Rd Ste 1
Chandler, AZ 85224-6231
Phone
(480) 722-2595
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. George M. Roso, M.D.NPI 1467425520
Title
Owner
Phone
(480) 722-2595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 27616 AZ Primary

Addresses

Primary practice location

255 S Dobson Rd Ste 1
Chandler, AZ 85224-6231

Mailing address

255 S Dobson Rd
Ste 1
Chandler, AZ 85224-6231
Phone (480) 722-2595

Other identifiers 1

IdentifierTypeStateIssuer
716209MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000000 AZ Part B Supplier - Clinic/Group Practice 8224112313 Receives reassigned benefits from 9 practitioners
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: george.roso-mmgrmd@contexture.medalliesmail.com

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265619308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S DOBSON RD",
            "address_2": "STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246231",
            "telephone_number": "480-722-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S DOBSON RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246231",
            "telephone_number": "480-722-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE ROSO, M.D., P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-722-2595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "27616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716209",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.