Active NPI
Adam Rosendorff, M.D.
- Family Medicine Physician
- Boston, MA
National Provider Identifier
1386831444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C55991
- Practice address
- 75 Francis Street
Brigham and Women'S Hospital
Boston, MA 02115 - Phone
- (617) 732-5500
- NPI assigned
- Oct 2, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C55991 | CA | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 233763 | MA | |
| Family Medicine Physician | 207Q00000X | C55991 | CA | Primary |
Addresses
Primary practice location
75 Francis Street
Brigham and Women'S Hospital
Boston, MA 02115
Mailing address
1857 Holland Dr
Walnut Creek, CA 94597-2242
Phone (925) 270-8403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506
Phone (209) 928-5400
Hospital & facility affiliations
- Adventist Health Home Care Services
- Careone Home Health and Hospice, Inc
- Adventist Health Sonora
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C55991 | CA | MD | Family Medicine Physician |
| 233763 | MA | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuolumne Me-Wuk Indian Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Crescent Wound Care Inc | Family Medicine | Current | Accepting new patients |
| Crescent Wound Care Inc | Internal Medicine | Current | Accepting new patients |
| Tuolumne Mewuk Indian Health Center, Inc | Family Medicine | Current | Accepting new patients |
Locations
442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311
5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119
1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896
1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762
18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400
Interoperability endpoints
- arosendorff734563@direct.ochin.org
- adam.rosendorff.p1@direct.tmwihc.nextgenshare.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Tuolumne, CA
- NPI 1619952397
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1841920501
-
- Health Service Clinic/Center
- Westlake Village, CA
- NPI 1467074963
-
- Family Medicine Physician
- The Dalles, OR
- NPI 1942177548
-
- Family Medicine Physician
- Sonora, CA
- NPI 1124286885
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salida, CA
- NPI 1972809838
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1386831444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1857 HOLLAND DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972242",
"telephone_number": "925-270-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS STREET",
"address_2": "BRIGHAM AND WOMEN'S HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENDORFF",
"first_name": "ADAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-02",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C55991",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "MA",
"license": "233763",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C55991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.