Individual provider Active NPI

Joseph Rosana, O.D

  • Optometrist
  • Manassas, VA
National Provider Identifier
1336248319
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001577 Issued in VA
Practice address
8609 Sudley Rd Ste 105
Manassas, VA 20110-4500
Phone
(703) 393-8883
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001577 VA Primary

Addresses

Primary practice location

8609 Sudley Rd Ste 105
Manassas, VA 20110-4500

Mailing address

8609 Sudley Rd Ste 105
Manassas, VA 20110-4500
Phone (703) 393-8883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070307000255 VA Practitioner - Optometry 6204838816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Clinic IncGroup PAC ID 8527961234, 4 clinicians

Practice addresses (Care Compare)

8609 Sudley Rd
Suite 105
Manassas, VA 20110-4500
Phone (703) 393-8883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Interoperability endpoints

  • Direct secure messaging: joseph.rosana.1@3238.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1336248319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 SUDLEY RD STE 105",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104500",
            "telephone_number": "703-393-8883",
            "fax_number": "866-765-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 SUDLEY RD STE 105",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104500",
            "telephone_number": "703-393-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSANA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.