NPIMap

Individual provider Active NPI

Donald Robert Rose, M.D.

  • Family Medicine Physician
  • Dover, NH
National Provider Identifier
1942280540
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11718 Issued in NH
Practice address
10 Members Way Ste 203
Dover, NH 03820
Phone
(603) 742-3174
Fax
(603) 742-1855
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11718 NH Primary

Addresses

Primary practice location

10 Members Way Ste 203
Dover, NH 03820

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-3174

Other practice location 1

Alton Family Medicine
82 Main St
Alton, NH 03809
Phone (603) 875-6151

Other identifiers 2

IdentifierTypeStateIssuer
3080014MedicaidNH
01YP04089NH01OtherNHANTHEM BLUE CROSS BLUE SH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000505 NH Practitioner - Family Practice 1658397104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10 Members Way
203 Dover Family Practice
Dover, NH 03820-5933
Phone (603) 742-3174

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Mar 27, 2019 Accepting new patients
Wentworth Douglass Physician Corporation Family Medicine CurrentSince Mar 27, 2019 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Huggins Hospital Family Medicine Past Accepting new patients

Locations

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

10 Members Way
Ste 203
Dover, NH 03820
Phone (603) 742-3174

10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 609-6930

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

85 Main St
Somersworth, NH 03878
Phone (603) 692-5552

Interoperability endpoints

  • Direct secure messaging: rose.donald.wdh@direct.partners.masshiway.net

Organizations & group practices 4

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 8

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1942280540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-742-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY STE 203",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-742-3174",
            "fax_number": "603-742-1855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Alton Family Medicine",
            "address_2": "82 Main St",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "NH",
            "postal_code": "03809",
            "country_code": "US",
            "telephone_number": "603-875-6151",
            "fax_number": "603-875-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DONALD",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "11718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3080014",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "01YP04089NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.