Individual provider Active NPI

David Barukh Rosenberg, DO

  • Family Medicine Physician
  • Newport News, VA
National Provider Identifier
1497949283
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102201324 Issued in VA
Practice address
12997 Warwick Blvd
Newport News, VA 23602
Phone
(757) 340-3489
Fax
(757) 369-9554
NPI assigned
Sep 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102201324 VA Primary

Addresses

Primary practice location

12997 Warwick Blvd
Newport News, VA 23602

Mailing address

12997 Warwick Blvd
Newport News, VA 23602-8352
Phone (757) 369-9446

Other practice location 1

303 35th St
Suite 102
Virginia Beach, VA 23451-2868
Phone (757) 395-6900

Other practice location 2

4740 George Washington Mem Hwy Ste A
Yorktown, VA 23692-2512
Phone (757) 890-6339

Other practice location 3

3321 W Mercury Blvd
Hampton, VA 23666-3806
Phone (757) 224-0056

Other practice location 4

6567 George Washington Memorial Hwy
Gloucester, VA 23061-3754
Phone (804) 824-9962

Other practice location 5

300 Mt Clement Park Ste A
Tappahannock, VA 22560-5098
Phone (804) 443-8610

Other practice location 6

120 Monticello Ave
Williamsburg, VA 23185-2840
Phone (757) 564-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050314000573 VA Practitioner - Family Practice 7517912496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michumi PLLCGroup PAC ID 5193784395, 40 clinicians

Practice addresses (Care Compare)

12997 Warwick Blvd
Newport News, VA 23602-8352
Phone (757) 369-9446

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102201324VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Radiological Associates Limited PastSince Jul 9, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drosenberg68698@direct.rivhs.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1497949283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12997 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028352",
            "telephone_number": "757-369-9446",
            "fax_number": "757-369-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12997 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23602",
            "telephone_number": "757-340-3489",
            "fax_number": "757-369-9554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 35th St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234512868",
            "country_code": "US",
            "telephone_number": "757-395-6900",
            "fax_number": "757-425-7180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4740 George Washington Mem Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "VA",
            "postal_code": "236922512",
            "country_code": "US",
            "telephone_number": "757-890-6339",
            "fax_number": "757-890-6260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3321 W Mercury Blvd",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236663806",
            "country_code": "US",
            "telephone_number": "757-224-0056",
            "fax_number": "757-224-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6567 George Washington Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230613754",
            "country_code": "US",
            "telephone_number": "804-824-9962",
            "fax_number": "804-824-9963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Mt Clement Park Ste A",
            "address_purpose": "LOCATION",
            "city": "Tappahannock",
            "state": "VA",
            "postal_code": "225605098",
            "country_code": "US",
            "telephone_number": "804-443-8610",
            "fax_number": "804-443-8620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Monticello Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231852840",
            "country_code": "US",
            "telephone_number": "757-564-3627",
            "fax_number": "757-564-6449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "DAVID",
        "middle_name": "BARUKH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.