Jonathan Daniel Rose, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01344 Issued in MD

Practice address

2324 W Joppa Rd Ste 100
Lutherville, MD 21093-4617

Phone

(443) 583-5444

Fax

(443) 583-5385

NPI assigned

Nov 8, 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 3

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

White Square Vascular Surgery PAGroup PAC ID 5890791735, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95.18

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• White Square Vascular Surgery PA

  • Vascular Surgery Physician
  • Baltimore, MD
  • NPI 1285666008
  Medicare reassignment Care Compare group NPD
• Hyperheal Hyperbarics Inc

  • Medical Specialty Clinic/Center
  • Cockeysville, MD
  • NPI 1174886642
  Medicare reassignment NPD
• White Square Vascular Surgery PA

  • Durable Medical Equipment & Medical Supplies
  • Lutherville, MD
  • NPI 1053068809
  NPD
• Podiatry Affiliates, P.a.

  • Primary Podiatric Medicine Podiatrist
  • Baltimore, MD
  • NPI 1871716860
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1831269984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10845 PHILADELPHIA RD",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621717",
            "telephone_number": "410-335-0008",
            "fax_number": "410-335-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 W JOPPA RD STE 100",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934617",
            "telephone_number": "443-583-5444",
            "fax_number": "443-583-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JONATHAN",
        "middle_name": "DANIEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "510006200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CAP BLUE",
            "identifier": "E602",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "H792",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Rogers, DPT
• Marci Ann Rolker, LCPC
• Rooted Integrative Psychiatry LLC
• Beebe Rose
• Eric Rose
• Rosemedwardslcsw-C, LLC
• Bev Rosen, MSW
• Arthur Elihu Rosenbaum, M.D.
• Laura Marie Rosenberg, OTR/L
• Lawrence I Rosenberg, MD

• Podiatrist in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.