Individual provider Active NPI

Kenneth M Rosenzweig, MD

  • Specialist
  • Little Rock, AR
National Provider Identifier
1750369922
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C6198 Issued in AR
Practice address
8907 Kanis Rd
Suite 330
Little Rock, AR 72205-6449
Phone
(501) 975-5575
Fax
(501) 975-5634
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C6198 AR Primary

Addresses

Primary practice location

8907 Kanis Rd
Suite 330
Little Rock, AR 72205-6449

Mailing address

PO Box 242180
Little Rock, AR 72223-0041
Phone (501) 975-5575

Other identifiers 1

IdentifierTypeStateIssuer
114646001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20070201000212 AR Practitioner - Orthopedic SurgeryPractitioner - Pain Management 6901808153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8907 Kanis Rd
Suite 101
Little Rock, AR 72205-6452
Phone (501) 975-5575

Hospital & facility affiliations

  • Arkansas Surgical Hospital Hospital, No Little Rock, AR, CCN 040147
  • Baptist Health Rehabilitation Institute Inpatient rehabilitation facility, Little Rock, AR, CCN 043026

Merit-based Incentive Payment System (MIPS)

Final score
20.67 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.91

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth M Rosenzweig, MD, PA CurrentSince Jun 19, 2009 Accepting new patients

Locations

8907 Kanis Rd
Ste 330
Little Rock, AR 72205
Phone (501) 224-8810

8907 Kanis Rd
Ste 101
Little Rock, AR 72205
Phone (501) 975-5575

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 2

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1750369922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242180",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230041",
            "telephone_number": "501-975-5575",
            "fax_number": "501-975-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8907 KANIS RD",
            "address_2": "SUITE 330",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056449",
            "telephone_number": "501-975-5575",
            "fax_number": "501-975-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENZWEIG",
        "first_name": "KENNETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C6198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114646001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.