Individual provider Active NPI

Jonathan Michael Roselman, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Stanford, CA
National Provider Identifier
1639584030
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
C202178 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C202178 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 036-147656 IL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X C202178 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other practice location 1

1750 W Harrison St
Chicago, IL 60612
Phone (312) 563-3700

Other practice location 2

501 Madison Ave
Scranton, PA 18510-2401
Phone (570) 343-2283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OR, CA3 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

Enrollment IDStateProvider typePAC IDDetails
I20181129001386 IL Practitioner - Hospice/Palliative Care 8022319870 Reassigns benefits to 2 organizations
I20250108001268 OR Practitioner - Hospice/Palliative Care 8022319870 Reassigns benefits to 1 organization
I20250429002831 CA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 8022319870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C202178CAMDInternal Medicine Physician
036-147656ILMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Internal Medicine CurrentSince Apr 21, 2025 Accepting new patients
Journeycare, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Stanford Health Care CurrentSince Apr 21, 2025 Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Salem Health CurrentSince Dec 16, 2024 Accepting new patients
Stanford Health Care Internal Medicine Current Accepting new patients
Journeycare, Inc CurrentSince Jan 1, 2021 Accepting new patients
Salem Health CurrentSince Dec 16, 2024 Accepting new patients
Rush University Medical Center Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients

Locations

211 Quarry Rd
Palo Alto, CA 94304
Phone (650) 498-9000

2589 Samaritan Dr
San Jose, CA 95124
Phone (408) 357-1060

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 955
Chicago, IL 60612
Phone (312) 563-3700

1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904

1750 W Harrison St
Chicago, IL 60612
Phone (312) 942-2552

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

Interoperability endpoints

  • Direct secure messaging: jroselman146601@direct.rush.rush-health.com
  • Direct secure messaging: jroselman521153@direct.stanfordhealthcare.org

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1639584030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60612",
            "country_code": "US",
            "telephone_number": "312-563-3700",
            "fax_number": "312-563-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "185102401",
            "country_code": "US",
            "telephone_number": "570-343-2283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSELMAN",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C202178",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036-147656",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "C202178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.