NPIMap

Individual provider Active NPI

David Michael Rose, M.D.

  • Surgery Physician
  • North Chesterfield, VA
National Provider Identifier
1699752386
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101-236195 Issued in VA
Practice address
10710 Midlothian Tpke Ste 138
North Chesterfield, VA 23235
Phone
(804) 330-7990
Fax
(804) 660-2701
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01012361959 VA
Surgery Physician 208600000X 0101-236195 VA Primary

Addresses

Primary practice location

10710 Midlothian Tpke Ste 138
North Chesterfield, VA 23235

Mailing address

7202 Glen Forest Dr Ste 200
Richmond, VA 23226-3780
Phone (804) 673-2024

Other practice location 1

1051 Johnston Willis Dr.
St. 200
Richmond, VA 23235
Phone (804) 320-2705

Other practice location 2

6605 W Broad St Ste A
Richmond, VA 23230-1714
Phone (804) 287-3000

Other practice location 3

1051 Johnston Willis Dr.
St. 200
Richmond, VA 23235
Phone (804) 320-2705

Other identifiers 1

IdentifierTypeStateIssuer
010064384MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000753 VA Practitioner - Surgical OncologyPractitioner - General Surgery 2062497977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
Vanderbilt University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Cancer Institute IncorporatedGroup PAC ID 8628048378, 47 clinicians

Practice addresses (Care Compare)

10710 Midlothian Tpke
Suite 138
North Chesterfield, VA 23235-4766
Phone (804) 348-2814

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as individual
Quality
82.61
Promoting interoperability
98
Improvement activities
40
Cost
82.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101-236195VAMDSurgery Physician
01012361959VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Cancer Institute Incorporated CurrentSince Jan 1, 2019 Accepting new patients
Virginia Cancer Institute Incorporated CurrentSince Jan 1, 2019 Accepting new patients

Locations

1401 Johnston Willis Dr
Ste 100
North Chesterfield, VA 23235
Phone (804) 287-3000

10710 Midlothian Tpke
Ste 138
North Chesterfield, VA 23235
Phone (804) 330-4990

6605 W Broad St
Ste A
Richmond, VA 23230
Phone (804) 287-3000

7202 Glen Forest Dr
Ste 200
Richmond, VA 23226
Phone (804) 673-0134

Interoperability endpoints

  • FHIR API: https://fhir.prod.flatiron.io/fhir/

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 and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1699752386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263780",
            "telephone_number": "804-673-2024",
            "fax_number": "804-673-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MIDLOTHIAN TPKE STE 138",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-330-7990",
            "fax_number": "804-660-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 Johnston Willis Dr.",
            "address_2": "St. 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23235",
            "country_code": "US",
            "telephone_number": "804-320-2705",
            "fax_number": "804-330-2433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6605 W Broad St Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301714",
            "country_code": "US",
            "telephone_number": "804-287-3000",
            "fax_number": "804-673-1796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Johnston Willis Dr.",
            "address_2": "St. 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23235",
            "country_code": "US",
            "telephone_number": "804-320-2705",
            "fax_number": "804-330-2433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "01012361959",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101-236195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010064384",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.