Individual provider Active NPI

Vanessa Roos, MD

  • Physical Medicine & Rehabilitation Physician
  • Greenville, SC
National Provider Identifier
1740711787
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
89659 Issued in SC
Practice address
3372 Laurens Rd
Greenville, SC 29607-5236
Phone
(864) 537-4600
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X TP337 KY
Physical Medicine & Rehabilitation Physician 208100000X R4579 KY
Physical Medicine & Rehabilitation Physician 208100000X 55790 KY
Physical Medicine & Rehabilitation Physician 208100000X 89659 SC Primary

Addresses

Primary practice location

3372 Laurens Rd
Greenville, SC 29607-5236

Mailing address

9859 Anderson Rd
Piedmont, SC 29673-9776
Phone (843) 822-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20230719001514 SC Practitioner - Physical Medicine and Rehabilitation 5890043202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3372 Laurens Rd
Greenville, SC 29607-5236
Phone (864) 537-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP337KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa Roos PM&R LLC Physical Medicine & Rehabilitation CurrentSince Jul 6, 2023 Accepting new patients

Locations

3372 Laurens Rd
Greenville, SC 29607
Phone (864) 537-4600

Interoperability endpoints

  • Direct secure messaging: vroos24782@ukhcdirect.org

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 3

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1740711787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9859 ANDERSON RD",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296739776",
            "telephone_number": "843-822-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3372 LAURENS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075236",
            "telephone_number": "864-537-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOS",
        "first_name": "VANESSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "TP337",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "R4579",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "55790",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "89659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.