Benjamin P Roose, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301119289 Issued in MI

Practice address

927 S Carmel St
Cadillac, MI 49601-2547

Phone

(231) 876-3876

Fax

(231) 775-1115

NPI assigned

Apr 30, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL, MI, WY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

General Surgery

Education

Ohio State University College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverton Physician Practices, LLCGroup PAC ID 8426954496, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sagewest Health Care Hospital, Riverton, WY, CCN 530008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: benjamin.roose.1@5036.direct.athenahealth.com

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.

• Riverton Physician Practices, LLC

  • Emergency Medicine Physician
  • Riverton, WY
  • NPI 1205875614
  Medicare reassignment Care Compare group NPD
• Munson Healthcare Charlevoix Hospital

  • Pediatrics Physician
  • Charlevoix, MI
  • NPI 1326124058
  Medicare reassignment NPD
• Munson Healthcare Grayling

  • Rural Health Clinic/Center
  • Roscommon, MI
  • NPI 1710383351
  Medicare reassignment NPD
• Munson Healthcare Manistee Hospital

  • General Acute Care Hospital
  • Manistee, MI
  • NPI 1407949191
  Medicare reassignment NPD
• Munson Healthcare Otsego Memorial Hospital

  • Rural Health Clinic/Center
  • Gaylord, MI
  • NPI 1164628426
  Medicare reassignment NPD
• Southern Illinois Medical Services, NFP

  • Internal Medicine Physician
  • Carbondale, IL
  • NPI 1770656837
  Medicare reassignment NPD
• Munson Healthcare Cadillac

  • Surgery Physician
  • Cadillac, MI
  • NPI 1336547041
  Medicare reassignment
• Munson Healthcare Charlevoix Hospital

  • Certified Registered Nurse Anesthetist
  • Charlevoix, MI
  • NPI 1417033143
  NPD
• Munson Healthcare Charlevoix Hospital

  • Family Medicine Physician
  • Charlevoix, MI
  • NPI 1972367043
  NPD
• Munson Healthcare Grayling

  • Rural Health Clinic/Center
  • Mio, MI
  • NPI 1093349698
  NPD
• Munson Healthcare Grayling

  • Family Medicine Physician
  • Grayling, MI
  • NPI 1578961660

  Surgery

  NPD
• Munson Healthcare Manistee Hospital

  • Surgery Physician
  • Manistee, MI
  • NPI 1861577389
  NPD

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

• Riverton Memorial Hospital LLC

  • Rural Acute Care Hospital
  • Lander, WY
  • NPI 1245337286
  Care Compare affiliation

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1609286509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S CARMEL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012547",
            "telephone_number": "231-876-3876",
            "fax_number": "231-775-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 S Park Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "62948",
            "country_code": "US",
            "telephone_number": "618-942-2002",
            "fax_number": "618-351-6497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14700 Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201999",
            "country_code": "US",
            "telephone_number": "231-547-4024",
            "fax_number": "231-547-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 N Center Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351592",
            "country_code": "US",
            "telephone_number": "989-731-7996",
            "fax_number": "989-731-9151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381312",
            "country_code": "US",
            "telephone_number": "989-348-5461",
            "fax_number": "989-348-5724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1345 E Parkdale Ave",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496609318",
            "country_code": "US",
            "telephone_number": "231-398-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-7987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOSE",
        "first_name": "BENJAMIN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.150773",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301119289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "broose28854@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "220 S Park Ave Fl 3",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Laurence Rockwell, MD
• Sarah Rodery, LLMSW
• Jane Lois Roesemeier, CAC-R
• Trent Rogers
• Brandon Rohn, DPT
• Kathryn C Ross, LLMSW
• Deanna Joan Rosser, LMSW
• Virginia L Roys, CPRC
• Amie Marie Ruppert, AUD
• Barbara Jo Russ, LMSW

• Surgery Physician in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.