Individual provider Active NPI

David Milton Rose, DPM

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1891750154
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001355L Issued in PA
Practice address
321 N 18TH St
Philadelphia, PA 19103-1239
Phone
(215) 913-0028
Fax
(215) 563-7976
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001355L PA Primary

Addresses

Primary practice location

321 N 18TH St
Philadelphia, PA 19103-1239

Mailing address

321 N 18TH St
Philadelphia, PA 19103-1239
Phone (215) 575-9577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071114000198 PA Practitioner - Podiatry 2961590690 Practice locations: Doylestown, PA; Philadelphia, PA
I20120315000174 NJ Practitioner - Podiatry 2961590690 Practice locations: Camden, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Franklin Town Blvd
Philadelphia, PA 19103-1238
Phone (215) 575-9577

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue652
Removal or shaving of skin growth57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC001355LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Slipper Health and Rehabilitation Center Past Accepting new patients

Organizations & group practices 1

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1891750154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N 18TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031239",
            "telephone_number": "215-575-9577",
            "fax_number": "215-563-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N 18TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031239",
            "telephone_number": "215-913-0028",
            "fax_number": "215-563-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DAVID",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001355L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.