Individual provider Active NPI

Kevin P Rosenbach, M.D.

  • Allergy & Immunology Physician
  • Naples, FL
National Provider Identifier
1841268133
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME65459 Issued in FL
Practice address
2500 Vanderbilt Beach Rd
Ste 1103
Naples, FL 34109-0613
Phone
(239) 596-5560
Fax
(239) 596-7260
NPI assigned
Mar 10, 2006
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME65459 FL Primary

Addresses

Primary practice location

2500 Vanderbilt Beach Rd
Ste 1103
Naples, FL 34109-0613

Mailing address

2500 Vanderbilt Beach Rd
Ste 1103
Naples, FL 34109-0613
Phone (239) 596-5560

Other identifiers 1

IdentifierTypeStateIssuer
263319100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20110902000546 FL Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 8820268683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kevin P Rosenbach, MD PAGroup PAC ID 0749450500, 2 clinicians

Practice addresses (Care Compare)

2500 Vanderbilt Beach Rd
Suite 1103
Naples, FL 34109-0613
Phone (239) 596-5560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin P Rosenbach, MD PA Allergy & Immunology CurrentSince May 25, 2011 Accepting new patients
David Greene MD LLC Past Accepting new patients
Careone Health Care Centers, LLC Allergy & Immunology PastSince Oct 4, 2016 Accepting new patients
Brett E. Stanaland, M.D., P.a. PastSince Aug 15, 2016 Accepting new patients

Locations

15495 Tamiami Trl N
Ste 119
Naples, FL 34110
Phone (239) 221-3901

2500 Vanderbilt Beach Rd
Ste 1103
Naples, FL 34109
Phone (239) 596-5560

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1841268133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 VANDERBILT BEACH RD",
            "address_2": "STE 1103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090613",
            "telephone_number": "239-596-5560",
            "fax_number": "239-596-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 VANDERBILT BEACH RD",
            "address_2": "STE 1103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090613",
            "telephone_number": "239-596-5560",
            "fax_number": "239-596-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBACH",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME65459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263319100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.