Active NPI
Roger Craig Rosen, M.D.
- Vascular Surgery Physician
- Hyannis, MA
National Provider Identifier
1336179191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 53027
- Practice address
- 100 Camp St
Hyannis, MA 02601-3063 - Phone
- (508) 775-1984
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 53027 | MA | Primary |
Addresses
Primary practice location
100 Camp St
Hyannis, MA 02601-3063
Mailing address
100 Camp St
Hyannis, MA 02601-3063
Phone (508) 775-1984
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230000567 | Other | MA | RR MEDICARE |
| 29059 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 722914 | Other | MA | TUFTS MEDICARE PREFERRED |
| 17-01032 | Other | MA | UNITED HEALTHCARE |
| 6177735 | Medicaid | MA | |
| J03236 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Bedford Vascular Surgical Associates | Past | Accepting new patients | |
| Cape Cod Hospital Inc | Past | Accepting new patients | |
| Stephen J. Hoenig, MD, PC | Vascular Surgery | Past | Accepting new patients |
| Southeastern Vascular, P.C. | Vascular Surgery | Past | Accepting new patients |
| Hawthorn Medical Associates, LLC | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Vascular Surgery Physician
- Hyannis, MA
- NPI 1538775481
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
-
- Adult Health Nurse Practitioner
- North Dartmouth, MA
- NPI 1508825811
-
- Specialist
- New Bedford, MA
- NPI 1912122433
-
- Vascular Surgery Physician
- Hyannis, MA
- NPI 1205866274
-
- Vascular Surgery Physician
- Leominster, MA
- NPI 1578561569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1336179191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CAMP ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013063",
"telephone_number": "508-775-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAMP ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013063",
"telephone_number": "508-775-1984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "ROGER",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MA",
"license": "53027",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "230000567",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "29059",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS MEDICARE PREFERRED",
"identifier": "722914",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "17-01032",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6177735",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J03236",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.