Active NPI
Elmo J Rosario, MD
- Pulmonary Disease Physician
- Rapid City, SD
National Provider Identifier
1972530442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2375
- Practice address
- 2805 5TH St
Suite 100
Rapid City, SD 57701 - Phone
- (605) 719-5700
- Fax
- (605) 719-5701
- NPI assigned
- Jun 28, 2006
- Last updated
- Aug 4, 2011
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 2375 | SD | Primary |
Addresses
Primary practice location
2805 5TH St
Suite 100
Rapid City, SD 57701
Mailing address
353 Fairmont Blvd
Atten Medical Staff Services
Rapid City, SD 57701-6000
Phone (605) 719-7109
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00368653 | Other | SD | RR MEDICARE |
| 6000633 | Medicaid | SD | |
| 2375 | Other | SD | DAKOTACARE |
| 4993467 | Other | SD | WELLMARK |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2375 | SD | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1972530442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 FAIRMONT BLVD",
"address_2": "ATTEN MEDICAL STAFF SERVICES",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577016000",
"telephone_number": "605-719-7109",
"fax_number": "605-719-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 5TH ST",
"address_2": "SUITE 100",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-719-5700",
"fax_number": "605-719-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO",
"first_name": "ELMO",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "SD",
"license": "2375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00368653",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000633",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "2375",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "4993467",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.