Rosa A. Vidal, MD

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

24595 Issued in AL

Practice address

2432 67TH Ave S
St Petersburg, FL 33712-5613

Phone

(251) 454-1126

Fax

(727) 528-6452

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• USA Health - Mci Business Services LLC

  • Hematology & Oncology Physician
  • Mobile, AL
  • NPI 1952972812
  NPD
• USA Health Physician Billing Services LLC

  dba USA Mitchell Cancer Institute

  • Radiation Oncology Physician
  • Mobile, AL
  • NPI 1871150508
  NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1578503751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 67TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337125613",
            "telephone_number": "251-454-1126",
            "fax_number": "727-528-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 67TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337125613",
            "telephone_number": "251-454-1126",
            "fax_number": "727-528-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "ROSA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "AL",
            "license": "24595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00125518",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF MEDICINE",
            "identifier": "ME135633",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009981610",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699098",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263997100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "39-00626",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51507738",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Viar, MSAT, ATC
• Taylor Vicente, MSW, RCSWI
• Rosmery Victoria, D.O.
• Vida Eats, LLC
• Vida Medical Alliance, Inc
• Aly Vidaurri-Mielke
• Kathleen M. Vigeland, M.S., T.V.I, IT DS
• Carolyn Vignola, PMHNP-BC
• Christi R Vignona
• Laura Nicole Vila, CRNA

• Pediatric Critical Care Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Critical Care Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.