Individual provider Active NPI

David Blair Rosen

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1477180990
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
24824 Issued in NV
Practice address
3575 Pecos McLeod
Las Vegas, NV 89121-3803
Phone
(702) 731-2088
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 24824 NV Primary

Addresses

Primary practice location

3575 Pecos McLeod
Las Vegas, NV 89121-3803

Mailing address

3575 Pecos McLeod
Las Vegas, NV 89121-3803
Phone (702) 731-2088

Other practice location 1

9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 249-4969

Other practice location 2

901 E Van Buren St Apt 3041
Phoenix, AZ 85006-4040
Phone (385) 321-0095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240716003065 NV Practitioner - Ophthalmology 9537584297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Arizona College of Medicine - Phoenix, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shepherd Eye Center LTDGroup PAC ID 9234125907, 42 clinicians

Practice addresses (Care Compare)

3575 Pecos McLeod
Las Vegas, NV 89121-3803
Phone (702) 731-2088

Merit-based Incentive Payment System (MIPS)

Final score
83.99 of 100Reported as group
Quality
82.33
Improvement activities
40
Cost
79.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24824NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shepherd Eye Center, LTD Ophthalmology Current Accepting new patients
Shepherd Eye Center, LTD Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients

Locations

2475 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 731-2088

2100 N Rampart Blvd
Las Vegas, NV 89128
Phone (702) 731-2088

9100 W Post Rd
Las Vegas, NV 89148
Phone (702) 255-6665

3575 Pecos McLeod
Las Vegas, NV 89121
Phone (512) 314-1612

6850 N Durango Dr
Ste 404
Las Vegas, NV 89149
Phone (702) 731-2088

Interoperability endpoints

  • Direct secure messaging: david.rosenmd.p1@direct.eye-care.nextgenshare.com
  • Direct secure messaging: drosen@cepnv-sec.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1477180990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 PECOS MCLEOD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213803",
            "telephone_number": "702-731-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 PECOS MCLEOD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213803",
            "telephone_number": "702-731-2088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 W Sunset Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484844",
            "country_code": "US",
            "telephone_number": "702-249-4969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 E Van Buren St Apt 3041",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850064040",
            "country_code": "US",
            "telephone_number": "385-321-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "DAVID",
        "middle_name": "BLAIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "24824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.