Active NPI
Nicholas Rosenfeld, MD
- Family Medicine Physician
- Juneau, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 122021
- Practice address
- 3260 Hospital Dr
Juneau, AK 99801-7808 - Phone
- (907) 796-8900
- NPI assigned
- Apr 17, 2014
- Last updated
- Mar 29, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 177947 | AK | |
| Family Medicine Physician | 207Q00000X | C1-0013129 | DE | |
| Family Medicine Physician | 207Q00000X | 122021 | AK | Primary |
Addresses
Primary practice location
3260 Hospital Dr
Juneau, AK 99801-7808
Mailing address
PO Box 34704
Juneau, AK 99803-4704
Other practice location 1
1401 Foulk Rd Ste 100B
Wilmington, DE 19803-2764
Phone (302) 477-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK, TX
- 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
- Family Practice
- Education
- University of Washington School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3260 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8427
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122021 | AK | MD | Family Medicine Physician |
| 177947 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Municipality of Skagway | Current | Accepting new patients | |
| Nes Washington, Inc. | Current | Accepting new patients | |
| Alaska Native Tribal Health Consortium | Current | Accepting new patients | |
| Bartlett Regional Hospital | Current | Accepting new patients | |
| Juneau Emergency Medical Associates, Inc. | Current | Accepting new patients |
Locations
4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900
4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729
3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427
3268 Hospital Dr
Ste A
Juneau, AK 99801
Phone (907) 586-2700
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
Interoperability endpoints
- nicholas.rosenfeld.1@15635.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Juneau, AK
- NPI 1912393356
-
dba Dahl Memorial Clinic
- Federally Qualified Health Center (FQHC)
- Skagway, AK
- NPI 1063574200
-
- Emergency Medicine Physician
- Ketchikan, AK
- NPI 1215239595
-
dba Bartlett Surgery & Specialty Clinic
- Surgery Physician
- Juneau, AK
- NPI 1508044835
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Juneau, AK
- NPI 1891849261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1750701793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34704",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998034704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 HOSPITAL DR",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998017808",
"telephone_number": "907-796-8900"
}
],
"practiceLocations": [
{
"address_1": "1401 Foulk Rd Ste 100B",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198032764",
"country_code": "US",
"telephone_number": "302-477-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENFELD",
"first_name": "NICHOLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-17",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "177947",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C1-0013129",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "122021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.