Individual provider Active NPI

Rebecca A Rosenberg, PA-C

  • Surgical Physician Assistant
  • Iowa City, IA
National Provider Identifier
1598742595
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
01344R Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 356-7941
Fax
(319) 353-6511
NPI assigned
Dec 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 9701 MN
Surgical Physician Assistant 363AS0400X 01344R IA Primary
Physician Assistant 363A00000X 01344R IA

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-7941

Other identifiers 1

IdentifierTypeStateIssuer
757323500MedicaidMN

Other names 1

  • Rebecca A Rosenberg Horak Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070810000019 IA Practitioner - Physician Assistant 4880655661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1632 Sycamore St
Iowa City, IA 52240-6044
Phone (319) 467-8350

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

201 S Clinton St
168 Univ of Ia Health Care Quickcare
Iowa City, IA 52240-4034
Phone (319) 384-0520

2591 Holiday Rd
Coralville, IA 52241-3039
Phone (319) 467-7150

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7475

720 Pacha Pkwy
Suite 1
North Liberty, IA 52317-4797
Phone (319) 384-8801

767 Mormon Trek Blvd
Iowa City, IA 52246-1812
Phone (319) 384-8333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01344RIAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Sep 1, 2011 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430

1632 Sycamore St
Iowa City, IA 52240
Phone (319) 467-8350

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877

767 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 384-8333

720 Pacha Pkwy
Ste 1
North Liberty, IA 52317
Phone (319) 384-8801

Interoperability endpoints

  • Direct secure messaging: rrosenberg58736@uihcdirect.org

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.

Hospital & facility affiliations 1

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1598742595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-7941",
            "fax_number": "319-353-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-7941",
            "fax_number": "319-353-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "REBECCA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "9701",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "01344R",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "01344R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "757323500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ROSENBERG HORAK",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.