Individual provider Active NPI

Marc C Rose, MD

  • Urology Physician
  • Vero Beach, FL
National Provider Identifier
1285632760
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME48626 Issued in FL
Practice address
49 Royal Palm PT Ste 100
Vero Beach, FL 32960-4270
Phone
(772) 564-1799
Fax
(772) 494-1975
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME 48626 FL
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X ME48626 FL Primary

Addresses

Primary practice location

49 Royal Palm PT Ste 100
Vero Beach, FL 32960-4270

Mailing address

PO Box 644373
Vero Beach, FL 32964-4373
Phone (772) 564-1799

Other identifiers 3

IdentifierTypeStateIssuer
31193OtherFLFL BLUE
88244226132960A003OtherTRICARE - MILITARY
P02682780OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Unknown Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060621000334 FL Practitioner - Urology 8628080397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Ohio State University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose Urology LLCGroup PAC ID 5496139107, 2 clinicians

Practice addresses (Care Compare)

49 Royal Palm PT
Suite 100
Vero Beach, FL 32960-4270
Phone (772) 564-1799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 48626FLMDUrology Physician
ME48626FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rose Urology, LLC Single Specialty CurrentSince Jul 12, 2022 Accepting new patients

Locations

49 Royal Palm Pt
Ste 100
Vero Beach, FL 32960
Phone (772) 564-1799

1600 36th St
Ste A
Vero Beach, FL 32960
Phone (772) 564-1799

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCAJCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCAJCD/Endpoint/GCAJCD

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1285632760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644373",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329644373",
            "telephone_number": "772-564-1799",
            "fax_number": "772-494-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ROYAL PALM PT STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604270",
            "telephone_number": "772-564-1799",
            "fax_number": "772-494-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MARC",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME 48626",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "ME48626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "31193",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE - MILITARY",
            "identifier": "88244226132960A003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02682780",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Unknown",
            "affiliation": "N",
            "endpointDescription": "Unknown",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1600 36th St Ste A",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329604875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.