Active NPI
Christina Desousa Rose, M.D., M.P.H.
- Neurology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301088749
- Practice address
- 1400 S Main St Ste 502
Fort Worth, TX 76104-4909 - Phone
- (817) 702-8400
- NPI assigned
- May 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301088749 | MI | Primary |
Addresses
Primary practice location
1400 S Main St Ste 502
Fort Worth, TX 76104-4909
Mailing address
5141 Oakman Blvd
Dearborn, MI 48126-3763
Phone (313) 846-8840
Other practice location 1
5141 Oakman Blvd
Dearborn, MI 48126-3763
Phone (313) 846-8840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V4061 | Other | TX | LICENSE |
| 4301088749 | Other | MI | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Wayne State University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 S Main St
Suite 502
Fort Worth, TX 76104-4909
Phone (817) 702-8400
5141 Oakman Blvd
Dearborn, MI 48126-3763
Phone (313) 846-3057
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3610
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakleaf Neurology & Sleep P C | Current | Accepting new patients | |
| Rose Neurology, PC | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Neurology | Current | Accepting new patients |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| University of Texas Health Science Center at Tyler-Facility-Physician | Past | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Past | Accepting new patients |
Locations
5141 Oakman Blvd
Ste A
Dearborn, MI 48126
Phone (313) 846-8840
5141 Oakman Blvd
Dearborn, MI 48126
Phone (313) 359-8200
850 W Baraga Ave
Ste 31
Marquette, MI 49855
Phone (906) 449-3600
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
1400 S Main St
Ste 502
Fort Worth, TX 76104
Phone (817) 702-8400
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
Interoperability endpoints
- cdesousa@direct.dmc.org
- christina.rose.1@8233.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
dba Marquette General Family Medicine - Marquette
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
Neurology
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Dearborn, MI
- NPI 1831722560
-
- Specialist
- Dearborn, MI
- NPI 1740231034
-
dba UP Health System Pediatric Specialists
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Tyler, TX
- NPI 1063400778
-
dba Marquette General Emergency Medicine
- Emergency Medicine Physician
- Marquette, MI
- NPI 1366790727
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba JPS Health Network
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
-
dba UP Health System Marquette
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
-
dba UP Health System Portage
- General Acute Care Hospital
- Hancock, MI
- NPI 1245667229
-
- Critical Access Hospital
- Manistique, MI
- NPI 1700805157
-
dba Sinai-Grace Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1760794044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1275740847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5141 OAKMAN BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263763",
"telephone_number": "313-846-8840",
"fax_number": "313-846-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S MAIN ST STE 502",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044909",
"telephone_number": "817-702-8400"
}
],
"practiceLocations": [
{
"address_1": "5141 OAKMAN BLVD",
"address_purpose": "LOCATION",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263763",
"country_code": "US",
"telephone_number": "313-846-8840",
"fax_number": "313-846-1540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "CHRISTINA",
"middle_name": "DESOUSA",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301088749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "V4061",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "4301088749",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.