NPIMap

Individual provider Active NPI

Jose Larrabaster Ros, M.D

  • Internal Medicine Physician
  • Jacksonville, NC
National Provider Identifier
1356301634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200200443 Issued in NC
Practice address
3245 Henderson Dr
Jacksonville, NC 28546-5251
Phone
(910) 937-0008
Fax
(910) 937-0098
NPI assigned
Mar 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 200200443 NC Primary

Addresses

Primary practice location

3245 Henderson Dr
Jacksonville, NC 28546-5251

Mailing address

3245 Henderson Dr
Jacksonville, NC 28546-5251
Phone (910) 937-0008

Other names 1

  • Dr. Jose Ignacio Ros Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000715 NC Practitioner - Internal Medicine 0648248179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Carolina Internal Medicine PAGroup PAC ID 7517935042, 3 clinicians

Practice addresses (Care Compare)

2420 Henderson Dr
Jacksonville, NC 28546-5254
Phone 9109370008131106

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200200443NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Radiology P a PastSince Jul 15, 2002 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jose.ros@direct.coastalcarolinainternalmed.nchie.net

Organizations & group practices 2

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 5

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356301634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465251",
            "telephone_number": "910-937-0008",
            "fax_number": "910-937-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 HENDERSON DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465251",
            "telephone_number": "910-937-0008",
            "fax_number": "910-937-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROS",
        "first_name": "JOSE",
        "middle_name": "LARRABASTER",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200200443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "ROS",
            "middle_name": "IGNACIO",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.