NPIMap

Individual provider Active NPI

Raymond T Rosario, MD

  • Cardiovascular Disease Physician
  • High Point, NC
National Provider Identifier
1447290242
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
115316 Issued in MO
Practice address
3610 Peters CT
High Point, NC 27265-9004
Phone
(336) 883-0029
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 115316 MO Primary

Addresses

Primary practice location

3610 Peters CT
High Point, NC 27265-9004

Mailing address

507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029

Other identifiers 2

IdentifierTypeStateIssuer
204010805MedicaidMO
114561OtherBLUE CROSS/BLUE SHIELD

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
I20131021001180 NC Practitioner - Cardiovascular Disease (Cardiology) 9638142169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Iowa, RJ & L Carver College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethany Medical CenterGroup PAC ID 4486614575, 71 clinicians

Practice addresses (Care Compare)

507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
70.27
Promoting interoperability
98
Improvement activities
40
Cost
77.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115316MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Medical Center CurrentSince Jan 25, 2016 Accepting new patients
Bethany Medical Center, PA CurrentSince Jan 25, 2016 Accepting new patients
Bethany Medical Center Cardiovascular Disease Current Accepting new patients
Ozarks Medical Center Past Accepting new patients
Bethany Medical Center, PA Cardiovascular Disease Past Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
Ferrell Duncan Clinic, Inc Past Accepting new patients
Bethany Medical Center Past Accepting new patients

Locations

3402 Battleground Ave
Greensboro, NC 27410
Phone (336) 545-1515

3610 Peters Ct
High Point, NC 27265

507 N Lindsay St
High Point, NC 27262

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

495 Arbor Hill Rd
Ste R
Kernersville, NC 27284

Interoperability endpoints

  • Direct secure messaging: raymondrosario@bethanymed.allscriptsdirect.net

Organizations & group practices 8

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 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1447290242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624303",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 PETERS CT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659004",
            "telephone_number": "336-883-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "RAYMOND",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "115316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204010805",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "114561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.