Individual provider Active NPI

Jeffrey S Rose, MD

  • Medical Oncology Physician
  • Chillicothe, OH
National Provider Identifier
1710969779
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
35093402 Issued in OH
Practice address
4435 State Route 159
Chillicothe, OH 45601-8620
Phone
(740) 542-3030
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200501445 NC
Medical Oncology Physician 207RX0202X 35093402 OH Primary

Addresses

Primary practice location

4435 State Route 159
Chillicothe, OH 45601-8620

Mailing address

4435 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 542-3030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.cancer.center@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090916000526 OH Practitioner - Medical Oncology 9436180387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Nebraska College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

100 N Walnut St
Chillicothe, OH 45601-9031
Phone (740) 779-4500

110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201

12340 State Route 104
Waverly, OH 45690-8968
Phone (740) 941-5180

272 Hospital Rd
Chillicothe, OH 45601-9031

4435 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 542-3030

4455 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 779-8620

4457 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 779-7813

455 N Shawnee Lane
Chillicothe, OH 45601-9031
Phone (740) 779-4888

Hospital & facility affiliations

  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334
  • Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331
  • Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304
  • Berger Hospital Hospital, Circleville, OH, CCN 360170

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200501445NCMDInternal Medicine Physician
35093402OHMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Internal Medicine CurrentSince May 1, 2017 Accepting new patients

Locations

4435 State Route 159
Chillicothe, OH 45601
Phone (740) 542-3030

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: jrose7515@direct.osumc.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1710969779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-542-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 STATE ROUTE 159",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018620",
            "telephone_number": "740-542-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200501445",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OH",
            "license": "35093402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.cancer.center@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4435 State Route 159",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456018620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.