Scott Lewis Rosen, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

36057178 Issued in IL

Practice address

2440 Ravine Way
Suite 500
Glenview, IL 60025

Phone

(847) 724-9400

Fax

(847) 724-9401

NPI assigned

Jan 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Endeavor Health Medical Group

  dba NorthShore University HealthSystem Faculty Practice Associates

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  Ophthalmology

  Medicare reassignment NPD
• Scott L Rosen MD LTD

  • Ophthalmology Physician
  • Glenview, IL
  • NPI 1497841415
  NPD (past) Authorized official
• Endeavor Health Medical Group

  dba NorthShore Anesthesia Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD
• West Suburban Eye Associates LLC

  • Eyewear Supplier
  • River Forest, IL
  • NPI 1235386525
  NPD (past)
• West Suburban Eye Associates LLC

  • Ophthalmology Physician
  • Oak Park, IL
  • NPI 1255354601
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1306826714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 RAVINE WAY",
            "address_2": "SUITE 500",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60025",
            "telephone_number": "847-724-9400",
            "fax_number": "847-724-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 RAVINE WAY",
            "address_2": "SUITE 500",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60025",
            "telephone_number": "847-724-9400",
            "fax_number": "847-724-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "SCOTT",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "36057178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1626938",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL INS",
            "identifier": "364396691",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srosen6605@direct.northshore.org",
            "affiliation": "N",
            "address_1": "2050 Pfingsten Rd Ste 280",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600261324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rooted Mind Counseling Center LLC
• Krystal Rosalez
• Patrycia Rose, PHARMD
• Victoria Anne Roselli, IBCLC
• Marianne S Rosen, MD
• Nora Rosenau, OTR
• Heidi Moss Rosenberg, PSY.D.
• Libby Rosencrans, L.C.P.C
• Michelle Mary Rosewell, DPT
• Rosin Optical Co., Inc.

• Ophthalmology Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.