Individual provider Active NPI

Christopher George Rose, M.D.

  • Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1962401364
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036061232 Issued in IL
Practice address
7447 W Talcott Ave
Suite 400
Chicago, IL 60631-3745
Phone
(847) 965-3200
Fax
(847) 965-3270
NPI assigned
Jul 18, 2005
Last updated
Oct 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036061232 IL
Hematology & Oncology Physician 207RH0003X 036061232 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave
Suite 400
Chicago, IL 60631-3745

Mailing address

25070 Network PL
Chicago, IL 60673-1250
Phone (847) 585-7000

Other identifiers 2

IdentifierTypeStateIssuer
363980044OtherILTAX ID#
363387138OtherILTAX IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210126003562 CO Practitioner - Hematology/Oncology 6800823824 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Medical Group CurrentSince Oct 24, 2020 Accepting new patients
Magnolia Medical Company CurrentSince Oct 24, 2020 Accepting new patients
Magnolia Medical Company Current Accepting new patients

Locations

10515 E 40th Ave
Ste 115
Denver, CO 80239
Phone (303) 209-5115

1850 Race St
Denver, CO 80206
Phone (303) 209-5115

2925 E Colfax Ave
Denver, CO 80206
Phone (303) 209-5115

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIFJBD

Organizations & group practices 3

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1962401364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25070 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731250",
            "telephone_number": "847-585-7000",
            "fax_number": "847-240-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "847-965-3200",
            "fax_number": "847-965-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "CHRISTOPHER",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036061232",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036061232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "363980044",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "363387138",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.