Charles M Rosenthal, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD7123 Issued in RI

Practice address

115 Cass Ave
Hospital Based Landmark Medical Center
Woonsocket, RI 02895

Phone

(401) 769-4100

Fax

(401) 767-1631

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

JS Weill Medical College, Cornell University, 1981

Medicare assignment

May accept Medicare assignment

Group practices

Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020
• Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lifespan Physician Group of Massachusetts Inc

  • Family Medicine Physician
  • Taunton, MA
  • NPI 1235957713

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Internal Medicine Physician
  • Dartmouth, MA
  • NPI 1821349317
  Medicare reassignment NPD
• Bristol County Open MRI Services Inc.

  • Diagnostic Radiology Physician
  • Bristol, RI
  • NPI 1588723886
  NPD (past) Authorized official
• Northwestern Ri Imaging Center, LLC

  • Radiology Clinic/Center
  • Johnston, RI
  • NPI 1881647238

  Diagnostic Radiology

  NPD (past)
• Steward Medical Group, Inc.

  • Specialist
  • Brighton, MA
  • NPI 1265745301
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lifespan of Massachusetts - Fall River Inc

  • General Acute Care Hospital
  • Fall River, MA
  • NPI 1972330165
  Care Compare affiliation
• Southcoast Hospitals Group, Inc

  • General Acute Care Hospital
  • Wareham, MA
  • NPI 1922024835
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1801904180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SOCKANOSSET CROSS RD",
            "address_2": "SUITE 105",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205536",
            "telephone_number": "401-354-4900",
            "fax_number": "401-354-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "address_2": "HOSPITAL BASED LANDMARK MEDICAL CENTER",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-769-4100",
            "fax_number": "401-767-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD7123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS WELFARE",
            "identifier": "3142370",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRIM",
            "identifier": "245930",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH RI GR",
            "identifier": "31237",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP RI",
            "identifier": "400750",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "007123",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RI BLUESHIELD",
            "identifier": "3412",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000915",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew J Rogalski, M.D.
• Noelia Roman Harrow
• Janae Alesia Roman-Stewart
• Andrea Ronan
• Cynthia Lee Rosario
• Devin Ross Ross, PHARMD
• Gillian Ross, LMHC
• Jasmine Rossi
• Joseph Louis Rowey, O.D.
• Tara-Jean Therese Roy

• Diagnostic Radiology Physician in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Diagnostic Radiology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.

Verify at the official NPI Registry.