Individual provider Active NPI

Rose Joseph

  • Physician Assistant
  • Coconut Creek, FL
National Provider Identifier
1811587918
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1168590 Issued in FL
Practice address
4712 NW 5TH CT
Coconut Creek, FL 33063-6739
Phone
(754) 779-3208
NPI assigned
Jan 22, 2021
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1168590 FL Primary

Addresses

Primary practice location

4712 NW 5TH CT
Coconut Creek, FL 33063-6739

Mailing address

4712 NW 5TH CT
Coconut Creek, FL 33063-6739
Phone (754) 779-3208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, WI, IL, NV, TX, NY, CO8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20220519000150 FL Practitioner - Physician Assistant 2567849276 Reassigns benefits to 3 organizations
I20230516001934 AZ Practitioner - Physician Assistant 2567849276 Reassigns benefits to 1 organization
I20230519001624 WI Practitioner - Physician Assistant 2567849276 Reassigns benefits to 1 organization
I20230519002247 IL Practitioner - Physician Assistant 2567849276 Reassigns benefits to 1 organization
I20231006003321 NV Practitioner - Physician Assistant 2567849276 Reassigns benefits to 2 organizations
I20231019003677 TX Practitioner - Physician Assistant 2567849276 Reassigns benefits to 1 organization
I20240109004504 NY Practitioner - Physician Assistant 2567849276 Reassigns benefits to 1 organization
I20240110002384 CO Practitioner - Physician Assistant 2567849276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Howard Simon MD PLLCGroup PAC ID 7214369966, 61 clinicians

Practice addresses (Care Compare)

Whitehouse, TX 75791
Phone (480) 306-6949

1000 N Humphreys St
Suite 100
Flagstaff, AZ 86001-3124
Phone (928) 223-0200

10010 N Dale Mabry Hwy 150
Simonmed Imaging Carrollwood
Tampa, FL 33618-4469
Phone (813) 964-8439

10105 Clear Vista St
Suite 100
Orlando, FL 32832-6375
Phone (407) 587-0710

10125 W Colonial Dr
114 Simonmed Imaging Ocoee II
Ocoee, FL 34761-4212
Phone (407) 531-7100

10440 E Riggs Rd
110 Simonmed Imaging Sun Lakes
Sun Lakes, AZ 85248-7751
Phone (480) 883-6860

10561 Jeffreys St
Suite 111
Henderson, NV 89052-4267
Phone (702) 832-0116

10815 W McDowell Rd
102 Simonmed Imaging Avondale
Avondale, AZ 85392-5009
Phone (623) 433-0121

10825 W McDowell Rd
110 Simonmed Imaging Avondale Akos
Avondale, AZ 85392-5107
Phone (623) 251-6030

10910 State Rd 70 E
103 Simonmed Imaging Lakewood Ranch
Lakewood Ranch, FL 34202-8406
Phone (941) 954-1900

1111 S Dobson Rd
105 Simonmed Imaging Mesa Desert
Mesa, AZ 85202-3902
Phone (480) 964-4995

1125 Miranda LN
Kissimmee, FL 34741-0763
Phone (689) 204-0153

11375 S Sam Houston Pkwy W
150 Simonmed Imaging Beltway
Houston, TX 77031-2347
Phone (346) 335-8561

11960 Lioness Way
140 Simonmed Imaging Parker
Parker, CO 80134-5643
Phone (303) 643-0200

1227 Daniels Rd
Winter Garden, FL 34787-3835
Phone (689) 407-4115

1298 E Aris Dr
Derek G McAllister DO
Gilbert, AZ 85298-0928
Phone (480) 306-6949

130 S 63Rd St
123 Simonmed Imaging Baywood
Mesa, AZ 85206-1604
Phone (480) 264-4900

1315 S Orange Ave
1B Simonmed Imaging Delaney Park
Orlando, FL 32806-2145
Phone (407) 999-9977

1345 E McKellips Rd
106 Simonmed Imaging McKellips
Mesa, AZ 85203-2721
Phone (480) 265-8101

1350 W Fairbanks Ave
Simonmed Imaging Winter Park III
Winter Park, FL 32789-4804
Phone (321) 203-5730

13624 W Camino del Sol
300 Simonmed Imaging Sun City West
Sun City West, AZ 85375-3402
Phone (623) 214-6609

13940 N US Hwy 441 201
Simonmed Imaging the Villages
The Villages, FL 32159-8909
Phone (352) 241-7448

1425 S Greenfield Rd BLDG 2
Mesa, AZ 85206-5505

14301 E Cedar Ave Unit E
Simonmed Imaging Aurora
Aurora, CO 80012-1433
Phone (720) 492-1985

14302 Bruce B Downs Blvd
Tampa, FL 33613-2601
Phone (813) 979-7580

Merit-based Incentive Payment System (MIPS)

Final score
85.43 of 100Reported as group
Quality
82.86
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
68.83 of 100Reported as group
Quality
63.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9030AZMDPharmacist
030542NYMDPhysical Therapist
1168590FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Smi Imaging LLC CurrentSince Sep 1, 2023 Accepting new patients
Simonmed Reno PLLC CurrentSince Jun 1, 2024 Accepting new patients
Simonmed Imaging Florida LLC CurrentSince Mar 21, 2022 Accepting new patients
Simonmed Imaging Florida LLC CurrentSince Mar 21, 2022 Accepting new patients
Smi Imaging LLC CurrentSince Feb 11, 2023 Accepting new patients
Howard Simon MD PLLC CurrentSince Dec 28, 2022 Accepting new patients
Smi Imaging, LLC CurrentSince Mar 21, 2022 Accepting new patients

Locations

20414 N 27th Ave
Phoenix, AZ 85027
Phone (602) 849-0115

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

7304 E Deer Valley Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 264-2400

1845 W Orange Grove Rd
Ste 103
Tucson, AZ 85704
Phone (520) 230-4900

939 N Broadway
Denver, CO 80203
Phone (303) 633-1280

11960 Lioness Way
Ste 140
Parker, CO 80134
Phone (303) 643-0200

616 W Lionshead Cir
Vail, CO 81657
Phone (615) 250-2306

265 Citrus Tower Blvd
Ste 100
Clermont, FL 34711
Phone (352) 241-7440

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

730 Goodlette Rd
Ste 101
Naples, FL 34102
Phone (239) 262-5151

4051 Upper Creek Dr
Ste 10
Sun City Ctr, FL 33573
Phone (813) 634-0010

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

446 E Ontario St
Ste 106
Chicago, IL 60611
Phone (312) 440-0016

20530 N Rand Rd
Ste 350
Deer Park, IL 60010
Phone (847) 550-6740

3061 S Maryland Pkwy
Ste 102
Las Vegas, NV 89109
Phone (702) 369-4570

3560 E Flamingo Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 343-3610

590 Eureka Ave
Reno, NV 89512
Phone (775) 323-5083

24600 Katy Fwy
Katy, TX 77494
Phone (346) 527-0245

8633 Broadway St
Ste 109
Pearland, TX 77584
Phone (281) 412-3916

3960 Hillside Dr
Ste 106
Delafield, WI 53018
Phone (262) 646-6950

2005 Silvernail Rd
Pewaukee, WI 53072
Phone (262) 436-0884

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1811587918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 NW 5TH CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330636739",
            "telephone_number": "754-779-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 NW 5TH CT",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330636739",
            "telephone_number": "754-779-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "1168590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.