NPIMap

Individual provider Active NPI

Jeffrey Mark Rosenberg, MD, PHD

  • Pain Medicine Physician
  • Canton, MI
National Provider Identifier
1801902911
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
4301056069 Issued in MI
Practice address
6200 N Haggerty Rd
Canton, MI 48187-3605
Phone
(734) 526-8860
Fax
(734) 353-4108
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301056069 MI
Anesthesiology Physician 207L00000X 4301056069 MI
Interventional Pain Medicine Physician 208VP0014X 4301056069 MI
Pain Medicine Physician 208VP0000X 4301056069 MI Primary

Addresses

Primary practice location

6200 N Haggerty Rd
Canton, MI 48187-3605

Mailing address

6200 N Haggerty Rd
Canton, MI 48187-3605
Phone (734) 526-8860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031113000562 MI Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 7214841345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Michigan State University College of Human Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Pain Solutions PLLCGroup PAC ID 0547440745, 6 clinicians

Practice addresses (Care Compare)

39000 7 Mile Rd
Livonia, MI 48152-1006
Phone (734) 259-6015

6200 N Haggerty Rd
Canton, MI 48187-3605

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as individual
Quality
95.93
Improvement activities
40
Cost
79.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301056069MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Solutions PLLC Pain Medicine CurrentSince Aug 1, 2018 Accepting new patients
VHS Physicians of Michigan Past Accepting new patients

Locations

6200 N Haggerty Rd
Canton, MI 48187
Phone (734) 335-0860

39000 7 Mile Rd
Ste 2600
Livonia, MI 48152
Phone (734) 259-6015

25500 Meadowbrook Rd
Novi, MI 48375
Phone (248) 477-2200

6620 Highland Rd
Ste 102
Waterford, MI 48327
Phone (248) 461-6714

Interoperability endpoints

  • Direct secure messaging: jeffrey.rosenberg@pps.eclinicaldirectplus.com
  • Direct secure messaging: jrosenbe@direct.dmc.org
  • Direct secure messaging: jrosenberg857894@direct.hfhs.org

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 12

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1801902911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 N HAGGERTY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873605",
            "telephone_number": "734-526-8860",
            "fax_number": "734-353-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N HAGGERTY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873605",
            "telephone_number": "734-526-8860",
            "fax_number": "734-353-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JEFFREY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301056069",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301056069",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4301056069",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4301056069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.