Individual provider Active NPI

Robert John Rosenblatt, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Goshen, NY
National Provider Identifier
1649259052
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
01072852A Issued in IN
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

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110035383OtherNYRAILROAD MEDICARE PIN
815500473OtherINMEDICARE
01134610MedicaidNY
300058494MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
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, NC5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20100325000118 NY Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9830003961 Reassigns benefits to 2 organizations
I20151105001216 MI Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 9830003961 Reassigns benefits to 1 organization
I20160120000791 PA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 9830003961 Reassigns benefits to 1 organization
I20190311000603 NC Practitioner - Pulmonary Disease 9830003961 Reassigns benefits to 1 organization
I20231009002883 NY Practitioner - Critical Care (Intensivists) 9830003961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-5165

Hospital & facility affiliations

  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
167335NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Jan 14, 2019 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Oct 24, 2015 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Jan 14, 2019 Accepting new patients
Excela Health Physician Practices, Inc. Internal Medicine CurrentSince Oct 24, 2015 Accepting new patients
Promed Healthcare CurrentSince Oct 5, 2015 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Ascension Medical Group Promed Internal Medicine CurrentSince Oct 5, 2015 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Jun 1, 2018 Accepting new patients
Good Samaritan Hospital Medical Critical Care Medicine CurrentSince Sep 1, 2023 Accepting new patients
Good Samaritan Hospital Medical Center Current Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Internal Medicine CurrentSince Jun 20, 2017 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

  • Direct secure messaging: rrosenblatt1058069@nychhc.direct-ci.com
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 2

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1649259052",
    "addresses": [
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            "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": [
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            "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

Verify at the official NPI Registry.