Active NPI
Robert John Rosenblatt, MD
- Critical Care Medicine (Internal Medicine) Physician
- Goshen, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 01072852A
- Practice address
- 70 Hatfield LN
Suite 101
Goshen, NY 10924-6734 - Phone
- (845) 294-8888
- Fax
- (845) 294-1669
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 167335 | NY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 167335 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 334104 | LA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 334104 | LA | |
| Pulmonary Disease Physician | 207RP1001X | 167335 | NY | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01072852A | IN | Primary |
Addresses
Primary practice location
70 Hatfield LN
Suite 101
Goshen, NY 10924-6734
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
7777 Hennessy Blvd Ste 409
Baton Rouge, LA 70808-4365
Phone (225) 765-5864
Other practice location 2
5165 McCarty Ln
Lafayette, IN 47905-8764
Phone (765) 448-8000
Other practice location 3
2231 Carew St
Fort Wayne, IN 46805-4713
Phone (260) 266-7856
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110035383 | Other | NY | RAILROAD MEDICARE PIN |
| 815500473 | Other | IN | MEDICARE |
| 01134610 | Medicaid | NY | |
| 300058494 | Medicaid | IN |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rrosenblatt5164480@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | rrosenblatt@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MI, PA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165
Hospital & facility affiliations
- Borgess Medical Center
- Oaklawn Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167335 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group Promed | Internal Medicine | Current | Accepting new patients |
| Moses Cone Medical Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Excela Health Physician Practices, Inc. | Current | Accepting new patients | |
| Moses Cone Medical Services, Inc. | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc. | Internal Medicine | Current | Accepting new patients |
| Promed Healthcare | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc | Current | Accepting new patients | |
| Ascension Medical Group Promed | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group, New York, PC | Internal Medicine | Current | Accepting new patients |
| Good Samaritan Hospital Medical | Critical Care Medicine | Current | Accepting new patients |
| Good Samaritan Hospital Medical Center | Current | Accepting new patients | |
| St. Peter'S Health Partners Medical Associates, P.C. | Internal Medicine | Current | Accepting new patients |
| Ascension Borgess Hospital | Past | Accepting new patients | |
| Goshen Medical Associates PC | Pulmonary Disease | Past | Accepting new patients |
Locations
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
1535 Gull Rd
Ste 130
Kalamazoo, MI 49048
Phone (269) 345-1161
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038
520 N Elam Ave
Greensboro, NC 27403
Phone (336) 475-7148
940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
515 Main St
Olean, NY 14760
Phone (716) 373-2600
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000
Interoperability endpoints
- rrosenblatt1058069@nychhc.direct-ci.com
- rrosenblatt@direct.iuhealth.org
Organizations & group practices 14
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.
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
Internal Medicine
-
- Physician Assistant
- West Islip, NY
- NPI 1518901180
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
Internal Medicine
-
- Cardiovascular Disease Physician
- Greensburg, PA
- NPI 1821225202
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1427095249
-
- Critical Care Medicine (Internal Medicine) Physician
- West Islip, NY
- NPI 1548501620
-
- Internal Medicine Physician
- Portage, MI
- NPI 1538299631
-
- Family Medicine Physician
- Greensburg, PA
- NPI 1235004193
-
- Internal Medicine Physician
- Youngwood, PA
- NPI 1750477907
-
- Family Medicine Physician
- Madison, NC
- NPI 1629376363
-
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- General Acute Care Hospital
- Marshall, MI
- NPI 1861475360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1649259052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 HATFIELD LN",
"address_2": "SUITE 101",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246734",
"telephone_number": "845-294-8888",
"fax_number": "845-294-1669"
}
],
"practiceLocations": [
{
"address_1": "7777 Hennessy Blvd Ste 409",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708084365",
"country_code": "US",
"telephone_number": "225-765-5864",
"fax_number": "225-765-2013",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5165 McCarty Ln",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479058764",
"country_code": "US",
"telephone_number": "765-448-8000",
"fax_number": "765-448-8085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2231 Carew St",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468054713",
"country_code": "US",
"telephone_number": "260-266-7856",
"fax_number": "260-266-5279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENBLATT",
"first_name": "ROBERT",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "167335",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "167335",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "LA",
"license": "334104",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "LA",
"license": "334104",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "167335",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01072852A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "110035383",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "815500473",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01134610",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300058494",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rrosenblatt5164480@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "rrosenblatt5164480@direct.casso.us.com",
"address_1": "7777 Hennessy Blvd Ste 409",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708084365",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "7777 Hennessy Blvd Ste 409",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708084365",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rrosenblatt@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5165 McCarty Ln",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479058764",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.