Dharma Rose, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MED-PHYS-LIC-53457 Issued in MT

Practice address

54699 Hillside Rd
St Ignatius, MT 59865-8915

Phone

(406) 745-0845

Fax

(833) 918-2217

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 1

• Geridharma Or Dharma Rose Defrese Former name

Medicare fee-for-service enrollment

Enrolled in IN, MT2 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

Specialty

Osteopathic Manipulative MedicineAlso: Family Practice, Physical Medicine and Rehabilitation

Education

College of Osteo Med of the Pacific at Pomona, 1995

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke Community Hospital Hospital, Ronan, MT, CCN 271325
• Community Medical Center Hospital, Missoula, MT, CCN 270023

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBGDDD/Endpoint/GBGDDD
• FHIR API: https://api.platform.athenahealth.com/20877/brand/1/csg/1/fhir/r4
• Direct secure messaging: dharma.rose@rocidr.eclinicaldirectplus.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.

• Rose Osteopathic Clinic, Inc.

  • Health Service Clinic/Center
  • St Ignatius, MT
  • NPI 1518902881

  IN

  Medicare reassignment NPD Authorized official
• Mission Mountains Osteopathy

  • Family Medicine Physician
  • St Ignatius, MT
  • NPI 1003569112
  NPD Authorized official
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• RCHP Billings - Missoula LLC

  • General Acute Care Hospital
  • Missoula, MT
  • NPI 1346642899
  Care Compare affiliation
• St Lukes Community Hospital

  • Critical Access Hospital
  • Ronan, MT
  • NPI 1336213446
  Care Compare affiliation

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1902842883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54699 HILLSIDE RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598658915",
            "telephone_number": "406-745-0845",
            "fax_number": "406-204-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54699 HILLSIDE RD",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598658915",
            "telephone_number": "406-745-0845",
            "fax_number": "833-918-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9506 Hadway Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462561035",
            "country_code": "US",
            "telephone_number": "406-745-0845",
            "fax_number": "833-918-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DHARMA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-53457",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IN",
            "license": "02001899",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MT",
            "license": "MED-PHYS-LIC-53457",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001899",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200977140A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MONTANA IDENTIFIER",
            "identifier": "1518902881",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518902881",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200231530",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902842883",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERIDHARMA OR DHARMA",
            "last_name": "DEFRESE",
            "middle_name": "ROSE",
            "credential": "DO, MS, RPH, FAIHM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Recovery Centers of Montana LLC
• Geofrey William Rohrlach
• Baylee Rook
• Rose Osteopathic Clinic, Inc.
• Rose Osteopathic Clinic, Inc.
• Kathleen R Ross, LAC
• Cindy G. Rossmith, RN
• Michael Fred Ruhkala, D.D.S
• Margaret Schildt, LCSW
• Alyssa Schock, DPT

• Family Medicine Physician in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; 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.