Chase Douglas Rose, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

T9227 Issued in TX

Practice address

1518 10TH St
Wichita Falls, TX 76301-4405

Phone

(940) 253-7160

Fax

(833) 460-5681

NPI assigned

Apr 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 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

Specialty

Pain Management

Education

Temple University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synovation Medical Group Texas, PLLCGroup PAC ID 5597177287, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010
• Clay County Memorial Hospital Hospital, Henrietta, TX, CCN 451362

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crose389702@ehrdirect.mayoclinicmsg.org

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.

• Synovation Medical Group Texas, PLLC

  • Pain Medicine Physician
  • Austin, TX
  • NPI 1376145458
  Medicare reassignment Care Compare group NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ

  Medicare reassignment NPD
• Synovation Medical Group Texas, PLLC

  • Pain Medicine Physician
  • Wichita Falls, TX
  • NPI 1104490671
  NPD
• Synovation Medical Group Texas, PLLC

  • Pain Medicine Physician
  • Houston, TX
  • NPI 1386218857
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Clay

  • Critical Access Hospital
  • Henrietta, TX
  • NPI 1437156361
  Care Compare affiliation
• County of Clay

  • Surgery Physician
  • Henrietta, TX
  • NPI 1639340748

  Hospital

  Care Compare affiliation
• County of Clay

  • Critical Access Hospital Clinic/Center
  • Henrietta, TX
  • NPI 1881175776
  Care Compare affiliation
• United Regional Health Care System Inc

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1023013448
  Care Compare affiliation

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1467940288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N FAIR OAKS AVE STE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033618",
            "telephone_number": "480-632-0057",
            "fax_number": "480-632-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014405",
            "telephone_number": "940-253-7160",
            "fax_number": "833-460-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CHASE",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "T9227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crose389702@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adam Romero
• Jennyfer A Rosado, LCMHC, LPC
• Noreen Rosario, PTA
• Rose Street Mental Health Care, LLP
• Rose Street Mental School
• Hollie Rose, D.O
• Stephen Roser, LCSW
• Gina Michelle Ross, PMHNP
• Mary J. Ross, PH.D.
• Alexandra Roth

• Pain Medicine Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.