Thomas A Rose, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01072231A Issued in IN

Practice address

801 Saint Marys Dr Ste 110E
Evansville, IN 47714-0515

Phone

(812) 485-1895

NPI assigned

Jul 11, 2005

Sex

Male

Sole proprietor

Yes

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.

• St Mary'S Medical Group, LLC

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1164852539

  Family Medicine, IN

  Medicare reassignment Care Compare group NPD
• Primary Physicians Network LLC

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1578786612

  Family Medicine

  NPD
• St Mary'S Medical Group, LLC

  • Nephrology Physician
  • Evansville, IN
  • NPI 1619307873
  NPD
• St. Mary'S Health, Inc

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1497706287

  Family Medicine

  NPD (past)
• Health Partners of America LLC

  • Physician Assistant
  • Coffeyville, KS
  • NPI 1720179625
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Home Health, LLC

  • Home Health Agency
  • Evansville, IN
  • NPI 1285285676
  Care Compare affiliation
• Deaconess Hospital Inc

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427

  Hospital

  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642

  Hospital

  Care Compare affiliation
• St. Mary'S at Home, LLC

  • Home Health Agency
  • Evansville, IN
  • NPI 1780687061
  Care Compare affiliation
• St. Mary'S Health, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1427082957

  Hospital

  Care Compare affiliation
• St. Mary'S Warrick Hospital, Inc.

  • Critical Access Hospital
  • Boonville, IN
  • NPI 1205828803

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Marys Medical Group LLC 230 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension at Home Home health agency, Evansville, IN, CCN 157281
• Deaconess Home Health, LLC Home health agency, Evansville, IN, CCN 157565
• Ascension St Vincent Evansville Hospital, Evansville, IN, CCN 150100
• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
• Ascension St Vincent Warrick Hospital, Boonville, IN, CCN 151325

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as apm

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in IN

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2022.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1780682013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR STE 110E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR STE 110E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140515",
            "telephone_number": "812-485-1895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3139 Waverly Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473747156",
            "country_code": "US",
            "telephone_number": "620-778-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01072231A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.rose.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "801 Saint Marys Dr Ste 110E",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Jose Roque, MD
• Kristy Rorer, RN
• Peter A Rosario, M.D.
• Alyssa Rose, PSYD
• Stephen L Rose, MD
• Toni Rose
• Catherine K Rosenmeier, MSW, LCSW
• Beth A Ross, PT
• Erin Ross
• Audra Roth

• All providers in Evansville, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.