NPIMap

Individual provider Active NPI

Melissa K Rosso, MD

  • Family Medicine Physician
  • Manhattan, KS
National Provider Identifier
1720216708
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
94-07239 Issued in KS
Practice address
4101 Anderson Ave
Manhattan, KS 66503-7588
Phone
(785) 587-4101
Fax
(785) 587-9090
NPI assigned
Jun 29, 2009
Last updated
Jul 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94-07239 KS Primary

Addresses

Primary practice location

4101 Anderson Ave
Manhattan, KS 66503-7588

Mailing address

4101 Anderson Ave
Manhattan, KS 66503-7588
Phone (785) 587-4101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20130925000778 KS Practitioner - Family PracticePractitioner - Geriatric Medicine 6507000908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stonecreek Family Physicians, LLPGroup PAC ID 9335121565, 18 clinicians

Practice addresses (Care Compare)

4101 Anderson Ave
Manhattan, KS 66503-7588
Phone (785) 587-4101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-07239KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stonecreek Family Physicians, LLP Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
K Stat Urgent Care PA CurrentSince Oct 1, 2013 Accepting new patients

Locations

4101 Anderson Ave
Manhattan, KS 66503
Phone (785) 273-9999

930 Hayes Dr
Ste B
Manhattan, KS 66502
Phone (785) 565-0016

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIABD

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 11

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": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1720216708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 ANDERSON AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037588",
            "telephone_number": "785-587-4101",
            "fax_number": "785-587-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 ANDERSON AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037588",
            "telephone_number": "785-587-4101",
            "fax_number": "785-587-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSO",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-07239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.