Individual provider Active NPI

Rosalie Padilla, M.D.

  • Internal Medicine Physician
  • Bowling Green, KY
National Provider Identifier
1851354401
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25071 Issued in KY
Practice address
4863 Scottsville Rd Ste B
Bowling Green, KY 42104-7949
Phone
(270) 843-5662
Fax
(270) 843-5614
NPI assigned
Apr 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25071 KY
Emergency Medicine Physician 207P00000X 2501 KY
Internal Medicine Physician 207R00000X 2501 KY
Internal Medicine Physician 207R00000X 25071 KY Primary

Addresses

Primary practice location

4863 Scottsville Rd Ste B
Bowling Green, KY 42104-7949

Mailing address

4863 Scottsville Rd Ste B
Bowling Green, KY 42104-7949
Phone (270) 843-5662

Other practice location 1

720 E 2nd Ave
Suite #301
Bowling Green, KY 42101-1778
Phone (270) 843-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20070723000501 KY Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - General Practice 6204937139 Reassigns benefits to 1 organization
Practice locations: Bowling Green, KY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, General Practice
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Bluegrass Med CareGroup PAC ID 2961873542, 3 clinicians

Practice addresses (Care Compare)

4863 Scottsville Rd
Suite B
Bowling Green, KY 42104-7949
Phone (270) 843-5662

Hospital & facility affiliations

  • The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2501KYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Med Care CurrentSince Jan 1, 2023 Accepting new patients
Southern Kentucky Nephrology Associates PSC Current Accepting new patients
Southern Ky Nephrology Past Accepting new patients

Locations

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

4863 Scottsville Rd
Ste B
Bowling Green, KY 42104
Phone (270) 843-5662

720 2nd Ave
Ste 301
Bowling Green, KY 42101
Phone (270) 843-5114

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1851354401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4863 SCOTTSVILLE RD STE B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047949",
            "telephone_number": "270-843-5662",
            "fax_number": "270-843-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4863 SCOTTSVILLE RD STE B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047949",
            "telephone_number": "270-843-5662",
            "fax_number": "270-843-5614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 E 2nd Ave",
            "address_2": "SUITE #301",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011778",
            "country_code": "US",
            "telephone_number": "270-843-5114",
            "fax_number": "270-745-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "ROSALIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "25071",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "2501",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "2501",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "25071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.