Individual provider Active NPI

Elizabeth Rosenberg, MD

  • Emergency Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1891215612
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
CDRH.0066547 Issued in CO
Practice address
1701 River Run Ste 302
Fort Worth, TX 76107-6547
Phone
(720) 839-7123
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X CDRH.0066547 CO Primary

Addresses

Primary practice location

1701 River Run Ste 302
Fort Worth, TX 76107-6547

Mailing address

23736 Rockrose Dr
Golden, CO 80401-9184
Phone (720) 839-7123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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
I20230817002343 TX Practitioner - Emergency Medicine 2769886563 Reassigns benefits to 1 organization
I20241011000798 NM Practitioner - Emergency Medicine 2769886563

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDRH.0066547COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goodside Health Medical, PLLC CurrentSince Jun 15, 2023 Accepting new patients
Healthone Carenow Urgent Care, LLC CurrentSince Jul 1, 2021 Accepting new patients
Goodside Health Medical, PLLC PastSince Jul 29, 2024 Accepting new patients

Locations

7120 E County Line Rd
Highlands Ranch, CO 80126
Phone (303) 329-3105

1500 N Cummings Dr
Alvarado, TX 76009
Phone (817) 783-6863

2101 Faro Dr
Austin, TX 78741

555 S Major Dr
Beaumont, TX 77707

1701 River Run
Ste 302
Ft Worth, TX 76107
Phone (512) 857-1222

6315 Winkleman Rd
Houston, TX 77083

2727 Military Pkwy
Mesquite, TX 75149

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.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1891215612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23736 ROCKROSE DR",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019184",
            "telephone_number": "720-839-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN STE 302",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076547",
            "telephone_number": "720-839-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "CDRH.0066547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.