Reenu Sara Eapen Rose

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

L0148 Issued in TX

Practice address

411 N. Washington Ave.
Suite 3300
Dallas, TX 75246-1774

Phone

(214) 824-9600

Fax

(214) 824-9601

NPI assigned

Mar 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Reenu Sara Eapen Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: reapen457917@ahs.direct-ci.com

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.

• Congenital Heart Surgery Center PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dallas, TX
  • NPI 1386700565

  TX

  Medicare reassignment Care Compare group NPD
• Baptist St. Anthony'S Hospital Corporation

  • Vascular & Interventional Radiology Physician
  • Amarillo, TX
  • NPI 1376510347
  NPD (past)

Specialty

Cardiovascular Disease (Cardiology)Also: Pediatric Medicine

Education

Ohio State University College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Congenital Heart Surgery Center PLLC 8 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1881663342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192647",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752198524",
            "telephone_number": "214-824-9600",
            "fax_number": "214-824-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N. WASHINGTON AVE.",
            "address_2": "SUITE 3300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461774",
            "telephone_number": "214-824-9600",
            "fax_number": "214-824-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "REENU",
        "middle_name": "SARA EAPEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "L0148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149789307",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID -INDIVIDUAL",
            "identifier": "8L16162",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REENU",
            "last_name": "EAPEN",
            "middle_name": "SARA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meagan Kirby Rose
• Molly Alicia Rose
• Nathan Rose, MD
• Nickolas Rose
• Patricia Riddle Rose, PH.D.
• Savannah Rose, LCSW
• Rosellini Scientific
• Emily Hamilton Rosellini, MD
• Dana Beth Roseman, MPH, CDE, RD, LD
• Henry Felder Roseman

• All providers in Dallas, TX
• Pediatric Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.