Individual provider Active NPI

Clement S Rose, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1346238177
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036069325 Issued in IL
Practice address
5025 N Paulina St Ste 501
Chicago, IL 60640-2772
Phone
(773) 599-4363
Fax
(773) 599-4788
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036069325 IL Primary

Addresses

Primary practice location

5025 N Paulina St Ste 501
Chicago, IL 60640-2772

Mailing address

5025 N Paulina St Ste 501
Chicago, IL 60640-2772
Phone (773) 599-4363

Other identifiers 1

IdentifierTypeStateIssuer
036069325MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address clementrose@wincaremed.allscriptsdirect.net Direct
Direct Messaging Address clementrose@wincaremed.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041109000501 IL Practitioner - Internal Medicine 4981667185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5025 N Paulina St
Suite 501
Chicago, IL 60640-2772
Phone (773) 599-4353

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036069325ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Win Care Medical Consultants LTD Internal Medicine CurrentSince Jul 1, 1989 Accepting new patients
Baal Perazim Wellness and Health Services PC Internal Medicine PastSince Nov 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4646 N Marine Dr
Fl 4
Chicago, IL 60640
Phone (773) 564-6025

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

4646 N Marine Dr
Ste A6100
Chicago, IL 60640
Phone (773) 564-5444

4646 N Marine Dr
Fl 6
Chicago, IL 60640
Phone (773) 564-6150

5025 N Paulina St
Ste 501
Chicago, IL 60640
Phone (773) 599-4363

4646 N Marine Dr
Ste A
Chicago, IL 60640
Phone (773) 564-5006

4646 N Marine Dr
Ste A4600
Chicago, IL 60640
Phone (773) 564-7400

4646 N Marine Dr
Ste A6200
Chicago, IL 60640

Interoperability endpoints

  • Direct secure messaging: clement.rose.1@18552.direct.athenahealth.com
  • Direct secure messaging: clementrose@wincaremed.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1346238177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST STE 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "773-599-4363",
            "fax_number": "773-599-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST STE 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "773-599-4363",
            "fax_number": "773-599-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CLEMENT",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036069325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069325",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clementrose@wincaremed.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5025 N Paulina St Ste 501",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606402772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clementrose@wincaremed.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Allscripts Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4646 N Marine Dr Ste A6100",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606405759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.