Active NPI
Melvin K Roseman MD SC
- Nephrology Physician
- Chicago, IL
National Provider Identifier
1699707703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- MELVIN K ROSEMAN MD SC
- Practice address
- 2800 N Sheridan Rd
Suite 510
Chicago, IL 60657 - Phone
- (773) 248-6700
- Fax
- (847) 432-1963
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melvin K Roseman, MD
- Title
- President
- Phone
- (773) 248-6700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | IL | Primary |
Addresses
Primary practice location
2800 N Sheridan Rd
Suite 510
Chicago, IL 60657
Mailing address
PO Box 806
Highland Park, IL 60035-5040
Phone (773) 248-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Chicago, IL
- NPI 1770756827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699707703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 806",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600355040",
"telephone_number": "773-248-6700",
"fax_number": "847-432-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 N SHERIDAN RD",
"address_2": "SUITE 510",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "773-248-6700",
"fax_number": "847-432-1963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELVIN K ROSEMAN MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROSEMAN",
"authorized_official_first_name": "MELVIN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-248-6700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.