Active NPI
Howard M Rosen, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- North Kansas City, MO
National Provider Identifier
1922042696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- R7J21
- Practice address
- 2790 Clay Edwards Dr
Suite 1250
North Kansas City, MO 64116-3260 - Phone
- (816) 421-3700
- Fax
- (816) 421-1654
- NPI assigned
- Jun 15, 2006
- Last updated
- Nov 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | R7J21 | MO | Primary |
Addresses
Primary practice location
2790 Clay Edwards Dr
Suite 1250
North Kansas City, MO 64116-3260
Mailing address
2790 Clay Edwards Dr
Suite 1250
North Kansas City, MO 64116-3260
Phone (816) 421-3700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16692018 | Other | MO | BCBS OF KANSAS CITY |
| 203143409 | Medicaid | MO | |
| 110056196 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1922042696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2790 CLAY EDWARDS DR",
"address_2": "SUITE 1250",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163260",
"telephone_number": "816-421-3700",
"fax_number": "816-421-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 CLAY EDWARDS DR",
"address_2": "SUITE 1250",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163260",
"telephone_number": "816-421-3700",
"fax_number": "816-421-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "HOWARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MO",
"license": "R7J21",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS CITY",
"identifier": "16692018",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203143409",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110056196",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.