Individual provider Active NPI

John G Rose, MD

  • Ophthalmology Physician
  • Madison, WI
National Provider Identifier
1508809484
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
43243-020 Issued in WI
Practice address
1025 Regent St
Madison, WI 53715-1248
Phone
(608) 282-2000
Fax
(608) 282-2172
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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 43243-020 WI Primary

Addresses

Primary practice location

1025 Regent St
Madison, WI 53715-1248

Mailing address

1025 Regent St
Madison, WI 53715-1248
Phone (608) 282-2000

Other identifiers 1

IdentifierTypeStateIssuer
1508809484MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address jrose270994@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20100625000686 WI Practitioner - Ophthalmology 1254462864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Practice addresses (Care Compare)

1025 Regent St
Madison, WI 53715-1248
Phone (608) 282-2000

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital - Janesville Hospital, Janesville, WI, CCN 520208
  • SSM Health St Mary'S Hospital - Madison Hospital, Madison, WI, CCN 520083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43243-020WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc CurrentSince Nov 1, 2002 Accepting new patients
Dean Health Systems, Inc. CurrentSince Nov 1, 2002 Accepting new patients
Dean Health Systems, Inc, PastSince Aug 31, 2013 Accepting new patients

Locations

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

1025 Regent St
Madison, WI 53715
Phone (608) 282-2000

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

715 W Pleasant St
Portage, WI 53901
Phone (608) 745-5900

100 N Main St
Richland Ctr, WI 53581
Phone (608) 647-8995

Organizations & group practices 3

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 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1508809484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 REGENT ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151248",
            "telephone_number": "608-282-2000",
            "fax_number": "608-282-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 REGENT ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151248",
            "telephone_number": "608-282-2000",
            "fax_number": "608-282-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "43243-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508809484",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1025 Regent St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrose270994@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jrose270994@direct-ehr-ssmhc.com",
            "address_1": "1025 Regent St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.