Individual provider Active NPI

Seth Ian Rosenthal, MD

  • Dermatopathology (Pathology) Physician
  • Lexington, MA
National Provider Identifier
1871630350
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
83381 Issued in GA
Practice address
1 Cranberry HL Ste 105
Lexington, MA 02421-7397
Phone
(800) 325-7284
Fax
(205) 579-9387
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X ME88066 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 234394 MA
Dermatopathology (Pathology) Physician 207ZD0900X 83381 GA Primary

Addresses

Primary practice location

1 Cranberry HL Ste 105
Lexington, MA 02421-7397

Mailing address

1 Cranberry HL Ste 105
Lexington, MA 02421-7397
Phone (800) 325-7284

Other identifiers 1

IdentifierTypeStateIssuer
71887OtherFLBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20100329000409 MA Practitioner - Pathology 7315910098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Albany Medical College of Union University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strata Pathology Services, IncGroup PAC ID 3779503560, 14 clinicians

Practice addresses (Care Compare)

1 Cranberry HL
Suite 105
Lexington, MA 02421-7397
Phone (800) 325-7284

Merit-based Incentive Payment System (MIPS)

Final score
60.82 of 100Reported as group
Quality
21.63
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88066FLMDDermatopathology (Pathology) Physician
83381GAMDDermatopathology (Pathology) Physician
234394MAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strata Pathology Services, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Sep 1, 2023 Accepting new patients
Strata Pathology Services Inc CurrentSince Sep 1, 2023 Accepting new patients
Associated Pathologists LLC PastSince Jun 17, 2019 Accepting new patients
Laserderm Dermatology & Cosmetic Laser Surgery PastSince Jul 1, 2021 Accepting new patients

Locations

1 Cranberry Hl
Ste 303
Lexington, MA 02421
Phone (678) 679-9059

1 Cranberry Hl
Ste 105
Lexington, MA 02421
Phone (800) 325-7284

Networks

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1871630350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CRANBERRY HL STE 105",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217397",
            "telephone_number": "800-325-7284",
            "fax_number": "205-579-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRANBERRY HL STE 105",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217397",
            "telephone_number": "800-325-7284",
            "fax_number": "205-579-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "SETH",
        "middle_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME88066",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "234394",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "GA",
            "license": "83381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "71887",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.