Individual provider Active NPI

Jerry H. Rosenberg, M.D.

  • Urology Physician
  • Metairie, LA
National Provider Identifier
1801855655
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
015206 Issued in LA
Practice address
4224 Houma Blvd
Suite 260
Metairie, LA 70006-2933
Phone
(504) 887-5555
Fax
(504) 888-5031
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 015206 LA Primary

Addresses

Primary practice location

4224 Houma Blvd
Suite 260
Metairie, LA 70006-2933

Mailing address

4224 Houma Blvd
Suite 260
Metairie, LA 70006-2933
Phone (504) 887-5555

Other identifiers 1

IdentifierTypeStateIssuer
1347931MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070430000230 LA Practitioner - Urology 8820194319 Receives reassigned benefits from 2 practitioners
Practice locations: Covington, LA; Metairie, LA

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Louisiana State University School of Medicine in New Orleans, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4224 Houma Blvd
Metairie, LA 70006-2935
Phone (504) 887-5555

67186 Industry LN B
Covington, LA 70433-8708
Phone (985) 892-8088

Hospital & facility affiliations

  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015206LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry H. Rosenberg, M.D. PastSince Jan 1, 1990 Accepting new patients
Jerry H Rosenberg MD PastSince Jan 1, 1990 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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 8

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801855655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "SUITE 260",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062933",
            "telephone_number": "504-887-5555",
            "fax_number": "504-888-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "SUITE 260",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062933",
            "telephone_number": "504-887-5555",
            "fax_number": "504-888-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JERRY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "015206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1347931",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.