Individual provider Active NPI

Eran Rosenberg, M.D.

  • Pediatric Urology Physician
  • Louisville, KY
National Provider Identifier
1831434455
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
47612 Issued in KY
Practice address
3999 Dutchmans LN Ste 6
Louisville, KY 40207-4744
Phone
(502) 394-1999
Fax
(502) 394-1999
NPI assigned
Dec 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X 47612 KY Primary

Addresses

Primary practice location

3999 Dutchmans LN Ste 6
Louisville, KY 40207-4744

Mailing address

PO Box 950202
Louisville, KY 40295-0202
Phone (502) 588-9490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200417002391 KY Practitioner - UrologyPractitioner - Pediatric Medicine 2769602515 Reassigns benefits to 1 organization
I20211108001568 NY Practitioner - Urology 2769602515 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aizer Health , Inc. CurrentSince Dec 1, 2021 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Aizer Health , Inc. CurrentSince Dec 1, 2021 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Norton Children'S Medical Group, LLC Current Accepting new patients
North Shore-Lij Medical PC CurrentSince Nov 15, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Nov 15, 2021 Accepting new patients
Norton Children'S Medical Group, LLC PastSince Apr 9, 2023 Accepting new patients
Norton Childrens Medical Group, LLC PastSince Apr 9, 2023 Accepting new patients

Locations

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

279 Kings Daughters Dr
Ste 200
Frankfort, KY 40601
Phone (502) 223-6813

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

3999 Dutchmans Ln
Ste 6F
Louisville, KY 40207
Phone (502) 394-1999

3991 Dutchmans Ln
Ste 303
Louisville, KY 40207
Phone (502) 559-1750

3999 Dutchmans Ln
Ste 6FI
Louisville, KY 40207

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

4123 Dutchmans Ln
Ste 102
Louisville, KY 40207
Phone (502) 559-1670

230 E Broadway
Louisville, KY 40202
Phone (502) 629-8901

150 Frankfort Rd
Ste 101
Shelbyville, KY 40065
Phone (502) 647-5468

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242

26901 76th Ave
New Hyde Park, NY 11040
Phone (718) 470-3000

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: erosenberg76761@direct.nortonhealthcare.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1831434455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950202",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 DUTCHMANS LN STE 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074744",
            "telephone_number": "502-394-1999",
            "fax_number": "502-394-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ERAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-07",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "KY",
            "license": "47612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.