Individual provider Active NPI

David Rosenberg, MD

  • Pediatric Pulmonology Physician
  • Tampa, FL
National Provider Identifier
1629033253
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
ME0056942 Issued in FL
Practice address
4714 N Armenia Ave
Suite 201
Tampa, FL 33603-2603
Phone
(813) 870-1995
Fax
(813) 875-1889
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X ME0056942 FL Primary
Pediatric Sleep Medicine Physician 2080S0012X ME0056942 FL

Addresses

Primary practice location

4714 N Armenia Ave
Suite 201
Tampa, FL 33603-2603

Mailing address

PO Box 151637
Pediatric Pulmonary Specialists PA
Tampa, FL 33684-1637
Phone (813) 870-1995

Other identifiers 5

IdentifierTypeStateIssuer
204478OtherFLAMERIGROUP
01424OtherFLSTAYWELL
752467OtherFLFIRSTHEALTH
100789OtherFLAVMED
2414608OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080515000325 FL Practitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 0143399253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Pediatric Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Pulmonary Specialists PAGroup PAC ID 6406925510, 2 clinicians

Practice addresses (Care Compare)

4714 N Armenia Ave
Suite 201
Tampa, FL 33603-2603
Phone (813) 870-1995

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0056942FLMDPediatric Sleep Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Pulmonary Specialists PA Pediatric Pulmonology CurrentSince Jun 1, 2007 Accepting new patients
Florida Department of Health Past Accepting new patients
Pediatric Pulmonary Specialists PA Pediatric Pulmonology Past Accepting new patients
Pediatric Pulmonary Specialists PA Pediatric Pulmonology Past Accepting new patients

Locations

3253 N McMullen Booth Rd
Ste 100
Clearwater, FL 33761
Phone (727) 725-8102

1417 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 682-8401

4714 N Armenia Ave
Ste 201
Tampa, FL 33603
Phone (813) 870-1995

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61399

Organizations & group practices 4

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1629033253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151637",
            "address_2": "PEDIATRIC PULMONARY SPECIALISTS PA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336841637",
            "telephone_number": "813-870-1995",
            "fax_number": "813-875-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4714 N ARMENIA AVE",
            "address_2": "SUITE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032603",
            "telephone_number": "813-870-1995",
            "fax_number": "813-875-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "FL",
            "license": "ME0056942",
            "primary": true
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "FL",
            "license": "ME0056942",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "204478",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "01424",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTHEALTH",
            "identifier": "752467",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "100789",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2414608",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.