Individual provider Active NPI

Ryan A Rose, D.O.

  • Emergency Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1891054953
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.018513 Issued in OH
Practice address
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone
(513) 558-5281
NPI assigned
May 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.018513 OH Primary
Emergency Medicine Physician 207P00000X DO176924 OR

Addresses

Primary practice location

3188 Bellevue Ave
Cincinnati, OH 45219-2369

Mailing address

3200 Burnet Ave
Cincinnati, OH 45229-3019

Other practice location 1

759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-8490

Other practice location 2

890 Oak St SE Bldg A
Salem, OR 97301-3905
Phone (503) 561-5634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, OH2 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
I20160804001358 OR Practitioner - Emergency Medicine 0244470797 Reassigns benefits to 3 organizations
I20260604003300 OH Practitioner - Emergency Medicine 0244470797

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3200 Burnet Ave
Cincinnati, OH 45229-3028

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.018513OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Emergency Physicians Service, PC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Salem Health West Valley CurrentSince Mar 31, 2025 Accepting new patients
Salem Health Past Accepting new patients

Locations

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

890 Oak St SE
Bldg A
Salem, OR 97301
Phone (503) 370-5634

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": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1891054953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 BELLEVUE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192369",
            "telephone_number": "513-558-5281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011991001",
            "country_code": "US",
            "telephone_number": "413-794-8490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "890 Oak St SE Bldg A",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973013905",
            "country_code": "US",
            "telephone_number": "503-561-5634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "RYAN",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.018513",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "DO176924",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.