Individual provider Active NPI

Jillian Leigh Rosenblum, M.D.

  • Emergency Medicine Physician
  • Renton, WA
National Provider Identifier
1508246786
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.MD.70073752 Issued in WA
Practice address
400 S 43Rd St
Renton, WA 98055-5714
Phone
(877) 524-6755
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A156825 CA
Emergency Medicine Physician 207P00000X MD.MD.70073752 WA Primary

Addresses

Primary practice location

400 S 43Rd St
Renton, WA 98055-5714

Mailing address

2000 Crow Canyon PL Ste 260
San Ramon, CA 94583-1367
Phone (602) 380-3530

Other practice location 1

1900 W Polk St
Chicago, IL 60612-3723
Phone (312) 864-0391

Other practice location 2

2000 Crow Canyon Pl Ste 260
San Ramon, CA 94583-1367
Phone (602) 380-3530

Other identifiers 2

IdentifierTypeStateIssuer
036.145822OtherILMEDICAL LICENSE
A156825OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 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

Enrollment IDStateProvider typePAC IDDetails
I20190927000412 CA Practitioner - Emergency Medicine 3375848765 Reassigns benefits to 2 organizations
I20260623003393 WA Practitioner - Emergency Medicine 3375848765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Arizona College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Emergency Medical Group IncGroup PAC ID 5890697536, 42 clinicians
Associated Emergency Room Physicians Inc PSGroup PAC ID 7911892054, 28 clinicians

Practice addresses (Care Compare)

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-4444

400 S 43Rd St
Renton, WA 98055-5714
Phone (425) 228-3440

Hospital & facility affiliations

  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
  • California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047
  • Valley Medical Center Hospital, Renton, WA, CCN 500088

Merit-based Incentive Payment System (MIPS)

Final score
97.16 of 100Reported as group
Quality
91.91
Improvement activities
40
Cost
79.27

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A156825CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Emergency Medical Group, Inc. Emergency Medicine CurrentSince Jul 29, 2019 Accepting new patients
Berkeley Emergency Medical Group, Inc. Emergency Medicine CurrentSince Jan 22, 2023 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Mar 15, 2021 Accepting new patients
Sutter East Bay Medical Foundation Emergency Medicine Past Accepting new patients

Locations

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

Interoperability endpoints

  • Direct secure messaging: jrosenblum452759@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1508246786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CROW CANYON PL STE 260",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831367",
            "telephone_number": "602-380-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 43RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555714",
            "telephone_number": "877-524-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 W Polk St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123723",
            "country_code": "US",
            "telephone_number": "312-864-0391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Crow Canyon Pl Ste 260",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945831367",
            "country_code": "US",
            "telephone_number": "602-380-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "JILLIAN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A156825",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD.MD.70073752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "036.145822",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A156825",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.