Individual provider Active NPI

Garth David Rosenberg, MD

  • Vascular Surgery Physician
  • Frederick, MD
National Provider Identifier
1942262480
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0055562 Issued in MD
Practice address
77 Thomas Johnson Dr
Suite E
Frederick, MD 21702-4893
Phone
(301) 695-8346
Fax
(301) 668-7819
NPI assigned
Apr 3, 2006
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D0055562 MD Primary

Addresses

Primary practice location

77 Thomas Johnson Dr
Suite E
Frederick, MD 21702-4893

Mailing address

77 Thomas Johnson Dr Ste E
Frederick, MD 21702-4893
Phone (301) 695-8346

Other practice location 1

710 Somerset Blvd Ste 103
Charles Town, WV 25414-4998
Phone (866) 695-8346

Other practice location 2

172 Linden Dr Ste 103
Winchester, VA 22601-2892
Phone (866) 695-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20080707000418 WV Practitioner - Vascular Surgery 6103809447 Reassigns benefits to 1 organization
I20090729000351 VA Practitioner - Vascular Surgery 6103809447 Reassigns benefits to 1 organization
I20120124000786 MD Practitioner - Vascular Surgery 6103809447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Surgical Care PCGroup PAC ID 2163404740, 7 clinicians

Practice addresses (Care Compare)

172 Linden Dr
Suite 107
Winchester, VA 22601-2892
Phone (866) 695-8346

45155 Research PL
Suite 110
Ashburn, VA 20147-4192
Phone (866) 695-8346

710 Somerset Blvd
Suite 103
Charles Town, WV 25414-4998
Phone (866) 695-8346

77 Thomas Johnson Dr
Frederick, MD 21702-4893
Phone (301) 695-8346

Merit-based Incentive Payment System (MIPS)

Final score
92.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal248

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Surgical Care PC Vascular Surgery CurrentSince Oct 19, 1999 Accepting new patients
MSC Ambulatory Surgical Center, LLC CurrentSince Jan 4, 2005 Accepting new patients
MSC Ambulatory Surgical Center LLC CurrentSince Jul 15, 2009 Accepting new patients
Center for Laser Surgery LLC PastSince Jul 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

77 Thomas Johnson Dr
Ste E
Frederick, MD 21702
Phone (301) 695-8346

45155 Research Pl
Ste 110
Ashburn, VA 20147
Phone (703) 771-8170

172 Linden Dr
Ste 107
Winchester, VA 22601
Phone (540) 678-0767

710 Somerset Blvd
Ste 103
Charles Town, WV 25414
Phone (301) 695-8346

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1942262480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-695-8346",
            "fax_number": "301-624-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR",
            "address_2": "SUITE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-695-8346",
            "fax_number": "301-668-7819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Somerset Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Charles Town",
            "state": "WV",
            "postal_code": "254144998",
            "country_code": "US",
            "telephone_number": "866-695-8346",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 Linden Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012892",
            "country_code": "US",
            "telephone_number": "866-695-8346",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "GARTH",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0055562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.