Individual provider Active NPI

Christopher J Rosko, MD

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1609815943
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.10560 Issued in AL
Practice address
2252 Old Tyler Rd
Birmingham, AL 35226-1700
Phone
(205) 585-7420
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.10560 AL Primary

Addresses

Primary practice location

2252 Old Tyler Rd
Birmingham, AL 35226-1700

Mailing address

3909 McFarland Blvd
Northport, AL 35476-2838
Phone (205) 330-1707

Other identifiers 6

IdentifierTypeStateIssuer
105807MedicaidAL
515-93966OtherALBCBS
1609815943OtherALTRICARE SOUTH
051541357MedicaidAL
009985515MedicaidAL
515-41357OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031126000070 AL Practitioner - Emergency Medicine 0446154850 Reassigns benefits to 3 organizations
I20100519000810 MS Practitioner - Emergency Medicine 0446154850 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.10560ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relias Emergency Medicine Specialists of Tupelo LLC Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Southern Immediate Care, LLC CurrentSince Mar 1, 2023 Accepting new patients
Emergency Physicians Group Emergency Medicine CurrentSince Dec 1, 2009 Accepting new patients
Medcenter Demopolis, LLC CurrentSince Jul 22, 2014 Accepting new patients
University of Alabama at Birmingham Emergency Medicine Past Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
Southern Medical Group, Inc Emergency Medicine Past Accepting new patients
University of Alabama at Birmingham Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

104 Chelsea Point Dr
Chelsea, AL 35043
Phone (205) 453-7550

705 US Highway 80 W
Demopolis, AL 36732
Phone (205) 333-1993

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405
Phone (205) 333-4654

1575 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 333-1993

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1609815943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354762838",
            "telephone_number": "205-330-1707",
            "fax_number": "205-333-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 OLD TYLER RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352261700",
            "telephone_number": "205-585-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKO",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.10560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105807",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-93966",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1609815943",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051541357",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009985515",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-41357",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.