Individual provider Active NPI

Stephen Nathan Rosenberg, DO

  • Physical Medicine & Rehabilitation Physician
  • Leawood, KS
National Provider Identifier
1467552828
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0529541 Issued in KS
Practice address
4940 W 137TH Street
Suite B
Leawood, KS 66224
Phone
(913) 424-9670
Fax
(913) 851-4430
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0529541 KS Primary

Addresses

Primary practice location

4940 W 137TH Street
Suite B
Leawood, KS 66224

Mailing address

PO Box 7784
Shawnee Mission, KS 66207-0784
Phone (913) 424-9670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041020000223 KS Practitioner - Physical Medicine and Rehabilitation 2860452141 Reassigns benefits to 2 organizations
I20241217002826 MO Practitioner - Physical Medicine and Rehabilitation 2860452141 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0529541KSMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cass Regional Medical Center CurrentSince Dec 10, 2024 Accepting new patients
Rehab Consultants, PA Physical Medicine & Rehabilitation CurrentSince Jul 14, 2004 Accepting new patients
Cass Regional Medical Center CurrentSince Dec 10, 2024 Accepting new patients

Locations

4940 W 137th St
Ste B
Overland Park, KS 66224
Phone (913) 232-9846

13800 Metcalf Ave
Overland Park, KS 66223
Phone (800) 989-0525

5701 W 119th St
Ste 220
Overland Park, KS 66209
Phone (816) 524-5522

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

2820 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-2446

2820 E Rock Haven Rd
Ste 150
Harrisonville, MO 64701
Phone (816) 887-0309

2800 E Rock Haven Rd
Harrisonville, MO 64701
Phone (816) 380-3474

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1467552828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7784",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662070784",
            "telephone_number": "913-424-9670",
            "fax_number": "913-851-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 W 137TH STREET",
            "address_2": "SUITE B",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66224",
            "telephone_number": "913-424-9670",
            "fax_number": "913-851-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "STEPHEN",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "0529541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.