Individual provider Active NPI

Robert M Rose, M.D.

  • Cardiovascular Disease Physician
  • Beverly Hills, CA
National Provider Identifier
1396717450
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C30267 Issued in CA
Practice address
414 N Camden Dr
Ste 1100
Beverly Hills, CA 90210-4532
Phone
(310) 278-3400
Fax
(310) 278-1240
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C30267 CA Primary
Interventional Cardiology Physician 207RI0011X C30267 CA

Addresses

Primary practice location

414 N Camden Dr
Ste 1100
Beverly Hills, CA 90210-4532

Mailing address

414 N Camden Dr
Ste 1100
Beverly Hills, CA 90210-4532
Phone (310) 278-3400

Other identifiers 1

IdentifierTypeStateIssuer
00C302670MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412000619 CA Practitioner - Cardiovascular Disease (Cardiology) 1153315346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
78.52
Promoting interoperability
100
Improvement activities
40
Cost
72.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C30267CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Medical Group of Southern California Cardiovascular Disease CurrentSince Jan 1, 2004 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients

Locations

414 N Camden Dr
Ste 1100
Beverly Hills, CA 90210
Phone (310) 278-3400

3832 Delmas Ter
Culver City, CA 90232
Phone (310) 204-1146

3831 Hughes Ave
Ste 501
Culver City, CA 90232
Phone (310) 204-1146

11500 W Olympic Blvd
Los Angeles, CA 90064
Phone (310) 479-4247

11500 W Olympic Blvd
Ste 404
Los Angeles, CA 90064

8635 W 3rd St
Ste 1190W
Los Angeles, CA 90048
Phone (310) 652-4600

Interoperability endpoints

  • Direct secure messaging: rrose107165@direct.cshs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1396717450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR",
            "address_2": "STE 1100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104532",
            "telephone_number": "310-278-3400",
            "fax_number": "310-278-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR",
            "address_2": "STE 1100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104532",
            "telephone_number": "310-278-3400",
            "fax_number": "310-278-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C30267",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "C30267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C302670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.