Peter C Roos, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

32453 Issued in MA

Practice address

1372 Brush Hill Rd H207
Milton, MA 02186-2377

Phone

(508) 801-8330

Fax

(857) 345-9620

NPI assigned

Sep 20, 2005

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Bridgewater Pediatrics LLC

  • Pediatrics Physician
  • Bridgewater, MA
  • NPI 1255579975
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1619962255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 BRUSH HILL RD H207",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862377",
            "telephone_number": "508-801-8330",
            "fax_number": "857-345-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 BRUSH HILL RD H207",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021862377",
            "telephone_number": "508-801-8330",
            "fax_number": "857-345-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOS",
        "first_name": "PETER",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "32453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185191",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terese M Robinson, P.T.
• Edward S Robinsonlynch, MA
• Guy M Rochman, MD
• Melissa Rodrigues
• Evita Rodriguez
• Fern Leslie Ross Israel, L.M.H.C.
• Anya Rost, DMD
• Roy P Tarr
• Gianna Sabo
• Edla Saint Rose

• Endocrinology, Diabetes & Metabolism Physician in Milton, MA
• Providers in Milton, MA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.