Individual provider Active NPI

Robert P Kahn-Rose, M.D.

  • Psychiatry Physician
  • Encino, CA
National Provider Identifier
1912915901
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G59791 Issued in CA
Practice address
16311 Ventura Blvd
# 1205
Encino, CA 91436-4362
Phone
(818) 385-1219
Fax
(818) 385-1600
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G59791 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd
# 1205
Encino, CA 91436-4362

Mailing address

16311 Ventura Blvd
# 1205
Encino, CA 91436-4362
Phone (818) 385-1219

Other names 1

  • Robert P Rose Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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
I20061024000543 CA Practitioner - Psychiatry 1951308576 Reassigns benefits to 1 organization
I20251006001276 NV Practitioner - Psychiatry 1951308576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Albert Einstein College of Medicine of Yeshiva University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Las Vegas, NV 89134
Phone (818) 385-1219

30423 Canwood St
Suite 123
Agoura Hills, CA 91301-2090

30423 Canwood St
Suite 123
Agoura Hills, CA 91301-4314

Merit-based Incentive Payment System (MIPS)

Final score
86.1 of 100Reported as group
Quality
100
Improvement activities
40
Cost
49.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59791CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert P Kahn-Rose, Inc. CurrentSince Jul 1, 2006 Accepting new patients

Locations

30423 Canwood St
Ste 123
Agoura Hills, CA 91301
Phone (818) 385-1219

16311 Ventura Blvd
Ste 1205
Encino, CA 91436
Phone (818) 385-1219

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1912915901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "# 1205",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364362",
            "telephone_number": "818-385-1219",
            "fax_number": "818-385-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "# 1205",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364362",
            "telephone_number": "818-385-1219",
            "fax_number": "818-385-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN-ROSE",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G59791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "ROSE",
            "middle_name": "P",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.