Individual provider Active NPI

Carl Eli Rosen, M.D.

  • Ophthalmology Physician
  • Anchorage, AK
National Provider Identifier
1306839873
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
CR3386 Issued in AK
Practice address
542 W 2ND Ave
Anchorage, AK 99501-2208
Phone
(907) 276-1617
Fax
(907) 264-2687
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X CR3386 AK Primary

Addresses

Primary practice location

542 W 2ND Ave
Anchorage, AK 99501-2208

Mailing address

542 W 2ND Ave
Anchorage, AK 99501-2208
Phone (907) 276-1617

Other identifiers 1

IdentifierTypeStateIssuer
MD1477MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20101209000433 AK Practitioner - Ophthalmology 7911096771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Boston University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Associates a Professional CorporationGroup PAC ID 4183515596, 8 clinicians

Practice addresses (Care Compare)

542 W 2ND Ave
Anchorage, AK 99501-2208
Phone (907) 276-1617

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
93.22
Improvement activities
40
Cost
79.22

Merit-based Incentive Payment System (MIPS)

Final score
70.59 of 100Reported as group
Quality
83.37
Promoting interoperability
100
Improvement activities
40
Cost
16.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CR3386AKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Associates a Professional Corporation Ophthalmology CurrentSince Jul 18, 1994 Accepting new patients

Locations

542 W 2nd Ave
Anchorage, AK 99501
Phone (907) 276-1617

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: carl.rosen.p1@direct.ophthalmicassociates.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1306839873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 W 2ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012208",
            "telephone_number": "907-276-1617",
            "fax_number": "907-264-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 W 2ND AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012208",
            "telephone_number": "907-276-1617",
            "fax_number": "907-264-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "CARL",
        "middle_name": "ELI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "CR3386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1477",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.