Organization Active NPI

Kevin P Rosenbach, MD PA

  • Allergy & Immunology Physician
  • Naples, FL
National Provider Identifier
1669767695
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME65459 Issued in FL
Legal business name
KEVIN P ROSENBACH, MD PA
Doing business as
Naples Allergy Center
Practice address
2500 Vanderbilt Beach Rd Ste 1103
Naples, FL 34109-0613
Phone
(239) 596-5560
Fax
(239) 596-7260
NPI assigned
Jun 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Dr. Kevin P Rosenbach, MDNPI 1841268133
Title
Owner
Phone
(239) 596-5560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X ME65459 FL Primary

Addresses

Primary practice location

2500 Vanderbilt Beach Rd Ste 1103
Naples, FL 34109-0613

Mailing address

2500 Vanderbilt Beach Rd Ste 1103
Naples, FL 34109-0613
Phone (239) 596-5560

Other names 1

  • Naples Allergy Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110902000532 FL Part B Supplier - Clinic/Group Practice 0749450500 Receives reassigned benefits from 3 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1669767695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 VANDERBILT BEACH RD STE 1103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090613",
            "telephone_number": "239-596-5560",
            "fax_number": "239-596-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 VANDERBILT BEACH RD STE 1103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090613",
            "telephone_number": "239-596-5560",
            "fax_number": "239-596-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN P ROSENBACH, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "ROSENBACH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-596-5560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME65459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naples Allergy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Naples Allergy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.