NPIMap

Individual provider Active NPI

David H. Rosenbaum II, MD

  • Urology Physician
  • Jeffersonville, IN
National Provider Identifier
1568596195
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01059769A Issued in IN
Practice address
101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone
(812) 282-3899
NPI assigned
Mar 15, 2007
Last updated
Jan 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 01059769A IN
Urology Physician 208800000X 01059769A IN Primary

Addresses

Primary practice location

101 Hospital Blvd
Jeffersonville, IN 47130-3769

Mailing address

1819 Knollwood Rd
Louisville, KY 40207-1766
Phone (502) 632-1233

Other identifiers 3

IdentifierTypeStateIssuer
200942070MedicaidIN
42598OtherKYLICENSE
7100079420MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090608000342 KY Practitioner - Urology 6800946187 Reassigns benefits to 1 organization
I20090617000752 IN Practitioner - Urology 6800946187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Louisville School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Urology PSCGroup PAC ID 3779572888, 56 clinicians

Practice addresses (Care Compare)

101 Hospital Blvd
Jeffersonville, IN 47130-3769
Phone (812) 282-3899

3 Audubon Plaza Dr
L10
Louisville, KY 40217-1362
Phone (502) 584-0651

300 High Point CT
Mount Washington, KY 40047-6560
Phone (502) 955-6129

309 11TH St
Carrollton, KY 41008-1435
Phone (502) 633-2661

3920 S Dupont SQ C
Louisville, KY 40207-4615
Phone (812) 282-3899

5120 Dixie Hwy
Suite 105
Louisville, KY 40216-1775
Phone (812) 282-3899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059769AINMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton - Kings Daughters Health Inc Urology CurrentSince Apr 20, 2012 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Apr 20, 2012 Accepting new patients
Jackson County Schneck Memorial Hospital CurrentSince Mar 1, 2017 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
First Urology, PSC Urology Past Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

100 N Walnut St
Seymour, IN 47274
Phone (812) 523-5185

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1568596195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 KNOLLWOOD RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071766",
            "telephone_number": "502-632-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL BLVD",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303769",
            "telephone_number": "812-282-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "DAVID",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "01059769A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01059769A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200942070",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "42598",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100079420",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.