Individual provider Active NPI

Michelle Patricia Rose, MD

  • Pediatrics Physician
  • Arlington Heights, IL
National Provider Identifier
1609850981
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036087669 Issued in IL
Practice address
3275 N Arlington Heights Rd Ste 409
Arlington Heights, IL 60004-7709
Phone
(224) 857-8000
Fax
(224) 857-8001
NPI assigned
Dec 1, 2005
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036087669 IL Primary

Addresses

Primary practice location

3275 N Arlington Heights Rd Ste 409
Arlington Heights, IL 60004-7709

Mailing address

3275 N Arlington Heights Rd Ste 409
Arlington Heights, IL 60004-7709
Phone (224) 857-8000

Other names 1

  • Mrs. Michelle Patricia Rose-Skinner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181108000543 IL Practitioner - Pediatric Medicine 7012261134 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc Pediatrics Current Accepting new patients
Northwest Community Health Services Inc CurrentSince Dec 1, 2018 Accepting new patients
Dr. Kordas Pediatric Health Care Center, LLC Pediatrics CurrentSince Mar 5, 2023 Accepting new patients

Locations

3040 W Salt Creek Ln
Arlington Heights, IL 60005
Phone (847) 618-3481

3275 N Arlington Heights Rd
Ste 409
Arlington Heights, IL 60004
Phone (224) 857-8000

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

135 N Arlington Heights Rd
Ste 152
Buffalo Grove, IL 60089
Phone (847) 465-9600

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

25233 Network Pl
Chicago, IL 60673

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1609850981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3275 N ARLINGTON HEIGHTS RD STE 409",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047709",
            "telephone_number": "224-857-8000",
            "fax_number": "224-857-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 N ARLINGTON HEIGHTS RD STE 409",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047709",
            "telephone_number": "224-857-8000",
            "fax_number": "224-857-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MICHELLE",
        "middle_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036087669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ROSE-SKINNER",
            "middle_name": "PATRICIA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.