Individual provider Active NPI

Michael Kenneth Rosenthal, D.O.

  • Dermatology Physician
  • Wilmington, DE
National Provider Identifier
1487744421
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C2-0006433 Issued in DE
Practice address
2300 Pennsylvania Ave
Suite 3C
Wilmington, DE 19806-1392
Phone
(302) 652-3469
Fax
(302) 652-7102
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X C2-0006433 DE Primary

Addresses

Primary practice location

2300 Pennsylvania Ave
Suite 3C
Wilmington, DE 19806-1392

Mailing address

2300 Pennsylvania Ave
Suite 3C
Wilmington, DE 19806-1392
Phone (302) 652-3469

Other identifiers 2

IdentifierTypeStateIssuer
1000030201MedicaidDE
P00124364OtherDERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20040721001580 DE Practitioner - Dermatology 9638159536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2300 Pennsylvania Ave
Suite 3C
Wilmington, DE 19806-1379
Phone (302) 652-3469

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as individual
Quality
90.67
Promoting interoperability
100
Improvement activities
40
Cost
74.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision268
Removal of skin lesions4472
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2-0006433DEMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael K. Rosenthal, D.O., P.C. Dermatology CurrentSince Jun 3, 2004 Accepting new patients

Locations

2300 Pennsylvania Ave
Ste 3C
Wilmington, DE 19806
Phone (302) 652-3469

2300 Pennsylvania Ave
Ste 5B
Wilmington, DE 19806
Phone (302) 543-7481

Organizations & group practices 1

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487744421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE",
            "address_2": "SUITE 3C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061392",
            "telephone_number": "302-652-3469",
            "fax_number": "302-652-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE",
            "address_2": "SUITE 3C",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061392",
            "telephone_number": "302-652-3469",
            "fax_number": "302-652-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DE",
            "license": "C2-0006433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000030201",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00124364",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.