Individual provider Active NPI

Gregory R. Rosellini, M.D.

  • Emergency Medicine Physician
  • Elk Grove, CA
National Provider Identifier
1942224092
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A061075 Issued in CA
Practice address
9041 Bridgewater CT
Elk Grove, CA 95624-3132
Phone
(916) 714-3280
Fax
(916) 714-3280
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A061075 CA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A61075 CA

Addresses

Primary practice location

9041 Bridgewater CT
Elk Grove, CA 95624-3132

Mailing address

9041 Bridgewater CT
Elk Grove, CA 95624-3132
Phone (916) 714-3280

Other identifiers 1

IdentifierTypeStateIssuer
A61075OtherCA MEDICAL LICESE

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20151116001725 CA Practitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 4587661939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Pulmonary Medicine Associates Medical Group Inc.Group PAC ID 4981506730, 93 clinicians

Practice addresses (Care Compare)

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

1485 River Park Dr
Suite 200
Sacramento, CA 95815-4530
Phone (916) 325-1040

Hospital & facility affiliations

  • Adventist Health St Helena Hospital, Saint Helena, CA, CCN 050013
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as group
Quality
69.99
Promoting interoperability
100
Improvement activities
30
Cost
76.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61075CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A061075CAMDEmergency Medicine Physician
A61075CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Associates Sleep Lab Inc. CurrentSince Dec 15, 2015 Accepting new patients
Pulmonary Medicine Associates Medical Group, Inc Critical Care Medicine CurrentSince Dec 15, 2015 Accepting new patients
St. Helena Hospital CurrentSince Feb 1, 2016 Accepting new patients
Inpatient Specialists of California, PC CurrentSince May 12, 2018 Accepting new patients
St. Helena Hospital CurrentSince Feb 1, 2016 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients

Locations

6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623

1508 Alhambra Blvd
Ste 200
Sacramento, CA 95816
Phone (916) 325-1040

1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Interoperability endpoints

  • Direct secure messaging: gregory.rosellini.1@1119.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1942224092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9041 BRIDGEWATER CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956243132",
            "telephone_number": "916-714-3280",
            "fax_number": "916-714-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 BRIDGEWATER CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956243132",
            "telephone_number": "916-714-3280",
            "fax_number": "916-714-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSELLINI",
        "first_name": "GREGORY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A061075",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A61075",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICESE",
            "identifier": "A61075",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.