Individual provider Active NPI

Marc Del Rosario, MD

  • Cardiovascular Disease Physician
  • Memphis, TN
National Provider Identifier
1649470337
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2007010288 Issued in MO
Practice address
1211 Union Ave
Suite 495
Memphis, TN 38101-6656
Phone
(901) 507-6600
Fax
(901) 507-6599
NPI assigned
Jul 20, 2007
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2007010288 MO Primary

Addresses

Primary practice location

1211 Union Ave
Suite 495
Memphis, TN 38101-6656

Mailing address

PO Box 2044
Dept 4300
Memphis, TN 38101-4300
Phone (901) 821-0338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47307TNMDCritical Care Pharmacist
2007010288MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Cardiovascular Center, LLC Cardiovascular Disease Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mdelrosario@heartcenter.directbygreenway.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1649470337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2044",
            "address_2": "DEPT 4300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381014300",
            "telephone_number": "901-821-0338",
            "fax_number": "901-821-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE",
            "address_2": "SUITE 495",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381016656",
            "telephone_number": "901-507-6600",
            "fax_number": "901-507-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ROSARIO",
        "first_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2007010288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.