Individual provider Active NPI

Mark Wiiliam Rose, MD

  • Foot Surgery Podiatrist
  • Natick, MA
National Provider Identifier
1790871804
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1800 Issued in MA
Practice address
67 Union St
Suite 304
Natick, MA 01760-7700
Phone
(508) 653-7311
Fax
(508) 653-0549
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1800 MA Primary

Addresses

Primary practice location

67 Union St
Suite 304
Natick, MA 01760-7700

Mailing address

313 Speen St
Natick, MA 01760-1538
Phone (508) 653-7311

Other identifiers 6

IdentifierTypeStateIssuer
Y70826OtherMABLUE CROSS BLUE SHIELD
33122OtherMAHARVARD PILGRIM HEALTH CA
0361739MedicaidMA
001800OtherMATUFTS MEDICARE PREFERRED
001800OtherMATUFTS HEALTH PLAN
3818OtherMAFALLON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040324001394 MA Practitioner - Podiatry 6103717343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics New England IncGroup PAC ID 6800976770, 27 clinicians

Practice addresses (Care Compare)

313 Speen St
Natick, MA 01760-1538
Phone (508) 655-0471

Hospital & facility affiliations

  • Metrowest Medical Center Hospital, Framingham, MA, CCN 220175

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue65
Removal or shaving of skin growth58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1800MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics New England, Inc CurrentSince Jun 17, 2010 Accepting new patients
Orthopedics New England, Inc CurrentSince Jun 17, 2010 Accepting new patients
Orthopedics New England 3, LLC Past Accepting new patients

Locations

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

77 W Main St
Hopkinton, MA 01748
Phone (508) 435-5506

313 Speen St
Natick, MA 01760
Phone (508) 655-0471

2000 Washington St
Ste 322
Newton Lower Falls, MA 02462
Phone (617) 243-6076

Interoperability endpoints

  • Direct secure messaging: rose.mark.mwortho@direct.partners.masshiway.net

Organizations & group practices 3

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 1

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1790871804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SPEEN ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601538",
            "telephone_number": "508-653-7311",
            "fax_number": "508-653-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 UNION ST",
            "address_2": "SUITE 304",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017607700",
            "telephone_number": "508-653-7311",
            "fax_number": "508-653-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MARK",
        "middle_name": "WIILIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MA",
            "license": "1800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y70826",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "33122",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361739",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS MEDICARE PREFERRED",
            "identifier": "001800",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "001800",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "3818",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.