Aaron Rosenberg, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

63589-20 Issued in WI

Practice address

1516 W Mequon Rd Ste 103
Mequon, WI 53092-3264

Phone

(262) 242-0700

Fax

(855) 457-1293

NPI assigned

Feb 10, 2015

Last updated

Jun 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 3, 2023 through Feb 3, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aaron.rosenberg@490329635815428.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/9435/brand/1/csg/1/fhir/r4

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.

• Milwaukee Recovery Associates LLC

  • Addiction Medicine (Family Medicine) Physician
  • Mequon, WI
  • NPI 1245779578
  Authorized official Same address or phone
• Affiliated Surgery Center Inc

  • Ambulatory Surgical Clinic/Center
  • Milwaukee, WI
  • NPI 1154795649
  NPD (past)
• Davis Medical Clinic, SC

  • Internal Medicine Physician
  • Mequon, WI
  • NPI 1770538100
  NPD (past)

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1306237417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530920639",
            "telephone_number": "262-242-0700",
            "fax_number": "855-457-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 W MEQUON RD STE 103",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923264",
            "telephone_number": "262-242-0700",
            "fax_number": "855-457-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "63589-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "63589",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052457",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverfield Family Dental
• Amani Robertson
• Rock Solid Physical Therapy and Performance LLC
• Kathryn R Rodberg, NP
• Anne W Roemke, P.T.
• Donna A Rosenberg, PTA
• Samuel Rosengarden
• James L Rossiter, M.D.
• Olivia Rottier
• Roundys Supermarkets Inc (Metro Market Pharmacy)

• General Practice Physician in Mequon, WI
• Providers in Mequon, WI by specialty
• General Practice Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.