Mark A Rosales, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO113794 Issued in MO

Practice address

100 Highway 28 E
Belle, MO 65013-3405

Phone

(573) 859-3775

Fax

(573) 859-3997

NPI assigned

Jun 16, 2006

Last updated

Sep 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Hospice/Palliative CareAlso: Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Community Health Ctr of Central MissouriGroup PAC ID 2062456015, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central Missouri Hospice Hospice, Jefferson City, MO, CCN 261553

Merit-based Incentive Payment System (MIPS)

Final score

80.23 of 100Reported as group

Quality

58.17

Promoting interoperability

100

Improvement activities

40

Cost

75.92

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.rosales.p1@direct.chccmo.nextgenshare.com
• Direct secure messaging: mrosales63230@direct-ehr-ssmhc.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• LHCG Cxlviii, LLC

  dba Central Missouri Hospice

  • Community Based Hospice Care Agency
  • Jefferson City, MO
  • NPI 1558924829

  Contracted Managing Employee

  CMS ownership

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.

• Community Health Ctr of Central Missouri

  • Federally Qualified Health Center (FQHC)
  • Linn, MO
  • NPI 1538213244

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Cole Physician Services LLC

  • Hospitalist Physician
  • Jefferson City, MO
  • NPI 1144578659
  Medicare reassignment NPD
• LHCG Cxci, LLC

  dba Central Missouri Palliative Care

  • Family Medicine Physician
  • Jefferson City, MO
  • NPI 1215516935
  Medicare reassignment NPD
• Community Health Ctr of Central Missouri

  dba Community Health Center of Central Missouri

  • Federally Qualified Health Center (FQHC)
  • Fulton, MO
  • NPI 1316282239
  NPD
• Community Health Ctr of Central Missouri

  dba Community Health Center of Central Missouri-Christy Drive

  • Federally Qualified Health Center (FQHC)
  • Jefferson City, MO
  • NPI 1972001386

  Family Medicine

  NPD
• Community Health Ctr of Central Missouri

  • Federally Qualified Health Center (FQHC)
  • California, MO
  • NPI 1205104403
  NPD (past)

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

• LHCG Cxlviii, LLC

  dba Central Missouri Hospice

  • Community Based Hospice Care Agency
  • Jefferson City, MO
  • NPI 1558924829
  Care Compare affiliation

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1962446070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651021027",
            "telephone_number": "573-859-3775",
            "fax_number": "573-859-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 28 E",
            "city": "BELLE",
            "state": "MO",
            "postal_code": "650133405",
            "telephone_number": "573-859-3775",
            "fax_number": "573-859-3997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7115 E Saint Charles Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652020196",
            "country_code": "US",
            "telephone_number": "573-884-6851",
            "fax_number": "573-884-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MO",
            "license": "113794",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DO113794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP",
            "identifier": "CC7852",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00325210",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248871204",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "100 Highway 28 E",
            "city": "Belle",
            "state": "MO",
            "country_code": "US",
            "postal_code": "650133405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrosales63230@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mrosales63230@direct-ehr-ssmhc.com",
            "address_1": "100 Highway 28 E",
            "city": "Belle",
            "state": "MO",
            "country_code": "US",
            "postal_code": "650133405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "7115 E Saint Charles Rd",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652020196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Obermark Optometry, Inc.
• Regional Services (Coxhealth School Based Telemedicine)
• Theresa Lee Rhoads
• Sinks Pharmacy #100
• SSM Regional Health Services (SSM Health Medical Group - Family Medicine)
• The Senior Belle, LLC
• Shannon Renae Wright, FNP

• Family Medicine Physician in Belle, MO
• Providers in Belle, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.