Individual provider Active NPI

Joshua Aaron Rosenbloom, D.O.

  • Gastroenterology Physician
  • Warren, MI
National Provider Identifier
1871856310
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
5101020127 Issued in MI
Practice address
11885 E 12 Mile Rd
Ste. 300a
Warren, MI 48093-3474
Phone
(586) 582-6630
Fax
(586) 582-6631
NPI assigned
Jun 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 5101020127 MI Primary

Addresses

Primary practice location

11885 E 12 Mile Rd
Ste. 300a
Warren, MI 48093-3474

Mailing address

11885 E 12 Mile Rd
Ste. 300a
Warren, MI 48093-3474
Phone (586) 582-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20180918000737 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 2466772751 Reassigns benefits to 3 organizations
I20230515001017 DC Practitioner - Internal Medicine 2466772751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastro Center of Maryland LLCGroup PAC ID 7517972037, 23 clinicians

Practice addresses (Care Compare)

3405 Olandwood CT
Suite 102
Olney, MD 20832-1447
Phone (301) 570-8671

7120 Minstrel Way
Suite 100
Columbia, MD 21045-5274
Phone (410) 290-6677

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy145
Upper gastrointestinal (GI) endoscopy for acid reflux146

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020127MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Center of Maryland LLC Gastroenterology CurrentSince Jun 15, 2018 Accepting new patients
Annapolis Endoscopy Center LLC CurrentSince Mar 15, 2022 Accepting new patients
American Current Care of Michigan PC Current Accepting new patients
Cascades Endoscopy Center, LLC CurrentSince Mar 16, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1419 Forest Dr
Ste 105
Annapolis, MD 21403

7120 Minstrel Way
Ste 100
Columbia, MD 21045
Phone (571) 210-4828

7120 Minstrel Way
Ste 200
Columbia, MD 21045

7120 Minstrel Way
Ste 101
Columbia, MD 21045

1212 York Rd
Ste B101
Lutherville Timonium, MD 21093
Phone (410) 821-0009

3405 Olandwood Ct
Ste 102
Olney, MD 20832
Phone (301) 570-8671

436 44th St SE
Ste A
Kentwood, MI 49548
Phone (616) 531-9750

26185 Greenfield Rd
Southfield, MI 48076
Phone (248) 563-2040

11569 E 12 Mile Rd
Warren, MI 48093
Phone (586) 582-0018

Organizations & group practices 5

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1871856310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "address_2": "STE. 300A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-582-6630",
            "fax_number": "586-582-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11885 E 12 MILE RD",
            "address_2": "STE. 300A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933474",
            "telephone_number": "586-582-6630",
            "fax_number": "586-582-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLOOM",
        "first_name": "JOSHUA",
        "middle_name": "AARON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "5101020127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.