Active NPI
Alex Raymond Rosen, M.D.
- Family Medicine Physician
- Vero Beach, FL
National Provider Identifier
1467490623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME0060121
- Practice address
- 1265 36TH St
Vero Beach, FL 32960 - Phone
- (772) 567-6340
- Fax
- (772) 567-3564
- NPI assigned
- Jun 2, 2006
- Last updated
- Feb 22, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME0060121 | FL | Primary |
| Internal Medicine Physician | 207R00000X | ME0060121 | FL |
Addresses
Primary practice location
1265 36TH St
Vero Beach, FL 32960
Mailing address
1265 36TH St
Vero Beach, FL 32960
Phone (772) 567-6340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262937200 | Medicaid | FL | |
| ME60121 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080223000003 | FL | Practitioner - Internal Medicine | 4486738853 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Pennsylvania State University College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4960 SW 72ND Avenue
Suite 406
Miami, FL 33155-5506
5849 Okeechobee Blvd
Suite 301
West Palm Beach, FL 33417-4352
6550 N Federal Hwy
Suite 220
Fort Lauderdale, FL 33308
6801 Breacksville Rd
Independence, OH 44131-5058
9725 NW 117TH Ave
Suite 200
Medley, FL 33178-1260
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0060121 | FL | MD | Internal Medicine Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- Home Health Agency
- Vero Beach, FL
- NPI 1629009972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1467490623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-567-6340",
"fax_number": "772-567-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "32960",
"telephone_number": "772-567-6340",
"fax_number": "772-567-3564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "ALEX",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2024-02-22",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME0060121",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME0060121",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "262937200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME60121",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.