Individual provider Active NPI

James Leon Rose, D.P.M.

  • Foot Surgery Podiatrist
  • Anderson, SC
National Provider Identifier
1891891644
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0081 Issued in SC
Practice address
2126B N Highway 81
Anderson, SC 29621-1532
Phone
(864) 231-6395
Fax
(864) 231-6520
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 0081 SC Primary

Addresses

Primary practice location

2126B N Highway 81
Anderson, SC 29621-1532

Mailing address

2126B N Highway 81
Anderson, SC 29621-1532
Phone (864) 231-6395

Other identifiers 1

IdentifierTypeStateIssuer
PD0813MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000078 SC Practitioner - Podiatry 3870553290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Podiatry Group of Anderson, PAGroup PAC ID 4981741360, 7 clinicians

Practice addresses (Care Compare)

2126BN Hwy 81
Anderson, SC 29621-1532
Phone (864) 231-6395

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
63.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions11
Removal of nail tissue745
Removal or shaving of skin growth143
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81SCMDClinical Psychologist
0081SCMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Podiatry Group of Anderson, PA Foot Surgery CurrentSince Jul 1, 2002 Accepting new patients
Palmetto Podiatry Group of Anderson, PA Foot Surgery CurrentSince Jul 1, 2002 Accepting new patients

Locations

2126B Highway 81 N
Anderson, SC 29621
Phone (864) 231-6395

2126 Highway 81 N
Anderson, SC 29621
Phone (864) 226-2660

2126 Highway 81 N
#B
Anderson, SC 29621
Phone (864) 231-6395

Interoperability endpoints

  • Direct secure messaging: jrose@usfas.emadirect.md

Organizations & group practices 2

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1891891644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126B N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211532",
            "telephone_number": "864-231-6395",
            "fax_number": "864-231-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126B N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211532",
            "telephone_number": "864-231-6395",
            "fax_number": "864-231-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "JAMES",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "0081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD0813",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.