Active NPI
David Rose, M.D.
- Internal Medicine Physician
- Glen Burnie, MD
National Provider Identifier
1780697482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D19991
- Practice address
- 1600 Crain Hwy S
Ste 207
Glen Burnie, MD 21061-5577 - Phone
- (410) 760-5400
- Fax
- (410) 760-5488
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D19991 | MD | Primary |
Addresses
Primary practice location
1600 Crain Hwy S
Ste 207
Glen Burnie, MD 21061-5577
Mailing address
1600 Crain Hwy S
Ste 207
Glen Burnie, MD 21061-5577
Phone (410) 760-5400
Other names 1
- Dr. R. David Rose
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110216000568 | MD | Practitioner - Internal Medicine | 2264613769 | Practice locations: Glen Burnie, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Maryland School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1600 Crain Hwy S
Suite 208
Glen Burnie, MD 21061-6438
Phone (410) 760-5400
Hospital & facility affiliations
- Amedisys Home Health of Maryland
- Bayada Home Health Care, Inc.
- University of MD Baltimore Washington Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D19991 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- rrose1099118@direct.umm.edu
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Glen Burnie, MD
- NPI 1841248697
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
-
- Home Health Agency
- Forest Hill, MD
- NPI 1528352747
-
- Home Health Agency
- Columbia, MD
- NPI 1558680447
-
- Home Health Agency
- Glen Burnie, MD
- NPI 1578501789
-
- Home Health Agency
- Towson, MD
- NPI 1902843451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1780697482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CRAIN HWY S",
"address_2": "STE 207",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615577",
"telephone_number": "410-760-5400",
"fax_number": "410-760-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CRAIN HWY S",
"address_2": "STE 207",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210615577",
"telephone_number": "410-760-5400",
"fax_number": "410-760-5488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D19991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "R.",
"last_name": "ROSE",
"middle_name": "DAVID",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.