Individual provider Active NPI

Michael J. Rosenfeld, MD

  • Anesthesiology Physician
  • Marion, VA
National Provider Identifier
1508830753
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101237235 Issued in VA
Practice address
565 Radio Hill Rd
Marion, VA 24354-6587
Phone
(859) 291-4800
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101237235 VA Primary

Addresses

Primary practice location

565 Radio Hill Rd
Marion, VA 24354-6587

Mailing address

117 E Main St
Unit #4
Marion, VA 24354-3151
Phone (859) 291-4800

Other identifiers 1

IdentifierTypeStateIssuer
1508830753MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127000315 VA Practitioner - Anesthesiology 7810947991 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Highlands Anesthesia, PC Anesthesiology CurrentSince Oct 1, 2012 Accepting new patients
Smyth Anesthesia Associates, LTD. Anesthesiology CurrentSince Dec 1, 2004 Accepting new patients

Locations

16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000

245 Medical Park Dr
Marion, VA 24354
Phone (276) 378-1000

565 Radio Hill Rd
Marion, VA 24354
Phone (276) 782-1194

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1508830753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E MAIN ST",
            "address_2": "UNIT #4",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243543151",
            "telephone_number": "859-291-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 RADIO HILL RD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546587",
            "telephone_number": "859-291-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENFELD",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101237235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508830753",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

Verify at the official NPI Registry.