Active NPI
Edris Jesus Negron Rosal, MD
- Anesthesiology Physician
- Yuma, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 59812
- Practice address
- 2400 S Avenue a
Yuma, AZ 85364-7170 - Phone
- (283) 442-0009
- NPI assigned
- May 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 59812 | AZ | Primary |
Addresses
Primary practice location
2400 S Avenue a
Yuma, AZ 85364-7170
Mailing address
2400 S Avenue a
Yuma, AZ 85364-7170
Phone (928) 344-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005735 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-3138
2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000
Hospital & facility affiliations
- Rush University Medical Center
- Yuma Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yuma Regional Medical Center | Current | Accepting new patients | |
| Yuma Regional Medical Center | Current | Accepting new patients | |
| University Anesthesiologists SC | Anesthesiology | Current | Accepting new patients |
Locations
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
1653 W Congress Pkwy
Ste 739
Chicago, IL 60612
Phone (312) 942-3134
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1073558136
-
- General Practice Physician
- Yuma, AZ
- NPI 1598993420
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1730599093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647170",
"telephone_number": "928-344-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S AVENUE A",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647170",
"telephone_number": "283-442-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGRON ROSAL",
"first_name": "EDRIS",
"middle_name": "JESUS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-07",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "59812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005735",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.