NPIMap

Individual provider Active NPI

Ronald G Rosen, MD

  • Surgery Physician
  • Charleston, WV
National Provider Identifier
1528178399
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
32009 Issued in WV
Practice address
600 Morris St Ste 103
Charleston, WV 25301-1409
Phone
(304) 388-7040
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 6920 NV
Surgery Physician 208600000X 32009 WV Primary

Addresses

Primary practice location

600 Morris St Ste 103
Charleston, WV 25301-1409

Mailing address

PO Box 126
Eufaula, AL 36072-0126
Phone (334) 688-7350

Other practice location 1

825 W Washington St
Ste 7
Eufaula, AL 36027-1847
Phone (334) 688-7350

Other identifiers 2

IdentifierTypeStateIssuer
515-46700OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
1528178399MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, CA, WV3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080422000464 AL Practitioner - General Surgery 6507966694
I20180608001994 CA Practitioner - General Surgery 6507966694 Reassigns benefits to 2 organizations
I20230410001855 WV Practitioner - General Surgery 6507966694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Morris St
Suite 103
Charleston, WV 25301-1409
Phone (304) 388-7040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue132
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6920NVMDSurgery Physician
32009WVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Dec 12, 2022 Accepting new patients
Surgical Affiliates of California Surgery CurrentSince May 1, 2018 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince May 1, 2018 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Dec 12, 2022 Accepting new patients
CRH Clinic of Nevada Inc Surgery PastSince Jul 1, 2006 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
All American Surgical LLC PastSince Oct 1, 2023 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery PastSince Jul 2, 2023 Accepting new patients

Locations

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

600 Morris St
Ste 103
Charleston, WV 25301
Phone (304) 388-7040

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Interoperability endpoints

  • Direct secure messaging: rrosen@yourcarecommunity.org

Organizations & group practices 9

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 12

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1528178399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360720126",
            "telephone_number": "334-688-7350",
            "fax_number": "334-688-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MORRIS ST STE 103",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011409",
            "telephone_number": "304-388-7040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 W Washington St",
            "address_2": "Ste 7",
            "address_purpose": "LOCATION",
            "city": "Eufaula",
            "state": "AL",
            "postal_code": "360271847",
            "country_code": "US",
            "telephone_number": "334-688-7350",
            "fax_number": "334-688-7353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "RONALD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "6920",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "32009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "515-46700",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528178399",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.