Individual provider Active NPI

John A Rossi, M.D.

  • Surgery Physician
  • Mechanicsburg, PA
National Provider Identifier
1306833322
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD027547E Issued in PA
Practice address
2025 Technology Pkwy
Suite 304
Mechanicsburg, PA 17050-9400
Phone
(717) 791-2800
Fax
(717) 791-2828
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD027547E PA Primary
Vascular Surgery Physician 2086S0129X MD027547E PA

Addresses

Primary practice location

2025 Technology Pkwy
Suite 304
Mechanicsburg, PA 17050-9400

Mailing address

2025 Technology Pkwy
Suite 304
Mechanicsburg, PA 17050-9400
Phone (717) 791-2800

Other identifiers 1

IdentifierTypeStateIssuer
020012068OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070104000411 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 0244203818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD027547EPAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration PA PLLC Vascular Surgery CurrentSince Nov 1, 2020 Accepting new patients
Center for Vein Restoration PA PLLC CurrentSince Nov 1, 2020 Accepting new patients
Kunkel Surgical Group Surgery PastSince Jul 10, 2002 Accepting new patients
Calcagno and Rossi Vein Surgery Center LLC PastSince Jun 28, 2010 Accepting new patients

Locations

1338 Bristol Pike
Ste 205
Bensalem, PA 19020
Phone (484) 472-7430

501 Bath Rd
Ste 215
Bristol, PA 19007
Phone (215) 785-9905

300 Welsh Rd
Bldg 2
Horsham, PA 19044
Phone (855) 930-8346

170 N Henderson Rd
Ste 302
Kng of Prussa, PA 19406
Phone (610) 265-8700

2025 Technology Pkwy
Ste 304
Mechanicsburg, PA 17050
Phone (717) 791-2650

744 Lancaster Ave
Ste 225
Wayne, PA 19087
Phone (610) 687-5347

1600 6th Ave
Ste 110
York, PA 17403
Phone (717) 718-9459

Interoperability endpoints

  • Direct secure messaging: john.rossi.p3@direct.cvr.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1306833322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PKWY",
            "address_2": "SUITE 304",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509400",
            "telephone_number": "717-791-2800",
            "fax_number": "717-791-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 TECHNOLOGY PKWY",
            "address_2": "SUITE 304",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509400",
            "telephone_number": "717-791-2800",
            "fax_number": "717-791-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD027547E",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD027547E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020012068",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.