Individual provider Active NPI

Kenneth Y Rosenthal, DPM

  • Foot & Ankle Surgery Podiatrist
  • Greenville, NC
National Provider Identifier
1790773406
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
485 Issued in NC
Practice address
2140 W Arlington Blvd Ste D
Greenville, NC 27834-5709
Phone
(252) 830-1000
Fax
(252) 830-0511
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 485 NC Primary

Addresses

Primary practice location

2140 W Arlington Blvd Ste D
Greenville, NC 27834-5709

Mailing address

2140 W Arlington Blvd Ste D
Greenville, NC 27834-5709
Phone (252) 830-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101001044 NC Practitioner - Podiatry 3173585106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Carolina Foot an Ankle Specialists, IncGroup PAC ID 7315912631, 3 clinicians

Practice addresses (Care Compare)

2140 W Arlington Blvd
Suite D
Greenville, NC 27834-5709
Phone (252) 830-1000

Hospital & facility affiliations

  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions1-10
Removal of nail tissue97
Removal or shaving of skin growth34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Carolina Foot an Ankle Specialists, Inc Foot & Ankle Surgery CurrentSince Aug 1, 2004 Accepting new patients

Locations

2140 W Arlington Blvd
Ste D
Greenville, NC 27834
Phone (252) 752-1793

Interoperability endpoints

  • Direct secure messaging: krosenthal@ecfaasi-nc.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1790773406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W ARLINGTON BLVD STE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345709",
            "telephone_number": "252-830-1000",
            "fax_number": "252-830-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W ARLINGTON BLVD STE D",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345709",
            "telephone_number": "252-830-1000",
            "fax_number": "252-830-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "KENNETH",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.