Active NPI
Paul S Rosenberg, M.D.
- Orthopaedic Surgery Physician
- Madison, IN
National Provider Identifier
1508881160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 01035954
- Practice address
- 1373 E Sr 62
Madison, IN 47250 - Phone
- (812) 801-0848
- Fax
- (812) 801-0774
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 01035954 | IN | Primary |
Addresses
Primary practice location
1373 E Sr 62
Madison, IN 47250
Mailing address
PO Box 3395
Evansville, IN 47732-3395
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4370893 | Other | AETNA | |
| 100149010A | Medicaid | IN | |
| 2435128000 | Other | KY | PASSPORT ADVANTAGE |
| 1073893 | Other | KY | PASSPORT KY MEDICAID |
| 410014P | Other | IN | SIHO |
| 64759699 | Medicaid | KY | |
| 000000042209 | Other | IN | ANTHEM BCBS |
| 200034109 | Other | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01035954 | IN | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1508881160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3395",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477323395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1373 E SR 62",
"city": "MADISON",
"state": "IN",
"postal_code": "47250",
"telephone_number": "812-801-0848",
"fax_number": "812-801-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "PAUL",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01035954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4370893",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100149010A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2435128000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT KY MEDICAID",
"identifier": "1073893",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "410014P",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64759699",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000042209",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "200034109",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.