Active NPI
Michael Kenneth Rosenthal, D.O.
- Dermatology Physician
- Wilmington, DE
National Provider Identifier
1487744421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- C2-0006433
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000030201 | Medicaid | DE | |
| P00124364 | Other | DE | RAILROAD 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
Enrollment records 1
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 100
- Quality
- 90.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 268 |
| Removal of skin lesions | 4472 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1160 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0006433 | DE | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael K. Rosenthal, D.O., P.C. | Dermatology | Current | 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.
-
- Dermatology Physician
- Wilmington, DE
- NPI 1720279417
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.