Individual provider Active NPI

Rommel U Rosario, MD

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1972577955
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
11521 Issued in NV
Practice address
2450 W Charleston Blvd
Las Vegas, NV 89102-2179
Phone
(702) 877-8661
Fax
(702) 667-4689
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11521 NV Primary

Addresses

Primary practice location

2450 W Charleston Blvd
Las Vegas, NV 89102-2179

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 242-7199

Other identifiers 3

IdentifierTypeStateIssuer
XPY202874Q80MedicaidCA
965494MedicaidAZ
100507119MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051018001084 NV Practitioner - Anesthesiology 8022034149 Reassigns benefits to 4 organizations
I20160401000763 AZ Practitioner - Anesthesiology 8022034149

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, Irvine, California College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Group Rhodes P CGroup PAC ID 1052390036, 53 clinicians
Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

Practice addresses (Care Compare)

2450 W Charleston Blvd
Las Vegas, NV 89102-2179
Phone (702) 242-7199

5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651

Hospital & facility affiliations

  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Spring Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290046
  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021

Merit-based Incentive Payment System (MIPS)

Final score
89.7 of 100Reported as group
Quality
82.63
Promoting interoperability
100
Improvement activities
40
Cost
83.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11521NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Sep 5, 2005 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Apr 1, 2022 Accepting new patients
Amin, Dunckelmeyer and Luu PLLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology CurrentSince Feb 2, 2020 Accepting new patients
Optum Medical Group Rhodes P C Anesthesiology CurrentSince Sep 5, 2005 Accepting new patients
Summit Anesthesia Consultants, Inc Anesthesiology Past Accepting new patients

Locations

58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

2450 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8660

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

150 S Nevada Highway 160
Ste 8199
Pahrump, NV 89048
Phone (917) 903-0010

Interoperability endpoints

  • Direct secure messaging: rrosario117994@westdirect.optum.com

Organizations & group practices 8

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 10

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1972577955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-242-7199",
            "fax_number": "702-667-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022179",
            "telephone_number": "702-877-8661",
            "fax_number": "702-667-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "ROMMEL",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "11521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XPY202874Q80",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "965494",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507119",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.