Individual provider Active NPI

Linda Rose, MD

  • Ophthalmology Physician
  • Durango, CO
National Provider Identifier
1699703611
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DR0061431 Issued in CO
Practice address
575 Rivergate Unit 212
Durango, CO 81301
Phone
(970) 259-2202
Fax
(970) 259-2837
NPI assigned
Jun 29, 2006
Last updated
Dec 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D63330 MD
Ophthalmology Physician 207W00000X MD2007-0035 NM
Ophthalmology Physician 207W00000X DR0061431 CO Primary

Addresses

Primary practice location

575 Rivergate Unit 212
Durango, CO 81301

Mailing address

575 Rivergate Unit 212
Durango, CO 81301-7488
Phone (970) 259-2202

Other practice location 1

University Of New Mexico Hsc
MSC10 5610, Dept of Surgery
Albuquerque, NM 87131-0001
Phone (215) 805-7673

Other practice location 2

University Of New Mexico Hsc
MSC10 5610, Dept of Surgery
Albuquerque, NM 87131-0001
Phone (215) 805-7673

Other identifiers 1

IdentifierTypeStateIssuer
408203600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070623000044 NM Practitioner - Ophthalmology 0244262947 Reassigns benefits to 1 organization
I20181219003009 CO Practitioner - Ophthalmology 0244262947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Four Corners Eye Clinic, PCGroup PAC ID 1658263173, 6 clinicians

Practice addresses (Care Compare)

121 S Main Ave
Aztec, NM 87410-2120
Phone (970) 259-2202

575 Rivergate LN
Unit 212
Durango, CO 81301-7488
Phone (970) 259-2202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.36 of 100Reported as group
Quality
91.86
Improvement activities
40
Cost
72.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0061431COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Eye Clinic, PC CurrentSince Feb 1, 2019 Accepting new patients
Four Corners Eye Clinic, PC CurrentSince Feb 1, 2019 Accepting new patients

Locations

575 Rivergate Ln
Unit 212
Durango, CO 81301
Phone (970) 259-2202

121 S Main Ave
Aztec, NM 87410
Phone (505) 333-7278

Interoperability endpoints

  • Direct secure messaging: rose@fourcornerseye.direct.eyemdemr.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1699703611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE UNIT 212",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017488",
            "telephone_number": "970-259-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE UNIT 212",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "81301",
            "telephone_number": "970-259-2202",
            "fax_number": "970-259-2837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of New Mexico Hsc",
            "address_2": "MSC10 5610, Dept of Surgery",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "215-805-7673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "University Of New Mexico Hsc",
            "address_2": "MSC10 5610, Dept of Surgery",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "215-805-7673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "LINDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D63330",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2007-0035",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "DR0061431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408203600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.