Active NPI
David Rosenberg, D.O.
- Family Medicine Physician
- Farmington Hills, MI
National Provider Identifier
1962487041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101006628
- Practice address
- 30840 Northwestern Hwy
Suite 300
Farmington Hills, MI 48334-2552 - Phone
- (248) 932-8725
- Fax
- (248) 932-8977
- NPI assigned
- Dec 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101006628 | MI | Primary |
Addresses
Primary practice location
30840 Northwestern Hwy
Suite 300
Farmington Hills, MI 48334-2552
Mailing address
30840 Northwestern Hwy
Suite 300
Farmington Hills, MI 48334-2552
Phone (248) 932-8725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962487041 | Medicaid | MI | |
| 700F319250 | Other | MI | MI BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
Organizations & group practices 2
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.
-
dba Internal Medicine Physicians
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1982639357
-
- Family Medicine Physician
- West Bloomfield, MI
- NPI 1205855186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1962487041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30840 NORTHWESTERN HWY",
"address_2": "SUITE 300",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342552",
"telephone_number": "248-932-8725",
"fax_number": "248-932-8977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30840 NORTHWESTERN HWY",
"address_2": "SUITE 300",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342552",
"telephone_number": "248-932-8725",
"fax_number": "248-932-8977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENBERG",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-12",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101006628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962487041",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI BLUE SHIELD",
"identifier": "700F319250",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.