Active NPI
Jessica Fayne Rose, DO
- Plastic Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- R6887
- Practice address
- 6410 Fannin St Ste 1400
Houston, TX 77030 - Phone
- (832) 325-7181
- Fax
- (713) 512-2200
- NPI assigned
- Jul 9, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | R6887 | TX | Primary |
Addresses
Primary practice location
6410 Fannin St Ste 1400
Houston, TX 77030
Mailing address
6410 Fannin St Ste 1400
Houston, TX 77030-5389
Phone (832) 325-7181
Other practice location 1
1401 St Joseph Pkwy
GWS 3rd Floor
Houston, TX 77002
Phone (713) 756-5148
Other practice location 2
6410 Fannin St Ste 1400
Houston, TX 77030-5389
Other practice location 3
6410 Fannin St Ste 1400
Houston, TX 77030-5389
Other practice location 4
6410 Fannin St Ste 1400
Houston, TX 77030-5389
Other practice location 5
6410 Fannin St Ste 1400
Houston, TX 77030-5389
Other practice location 6
6410 Fannin St Ste 1400
Houston, TX 77030
Phone (832) 325-7181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of New England, College of Osteo Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-2096
Hospital & facility affiliations
- Hospital of Univ of Pennsylvania
- Pennsylvania Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 36 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Trustees of the University of Pennsylvania | Past | Accepting new patients | |
| University of Penn - Medical Group | Past | Accepting new patients |
Locations
1001 Chesterbrook Blvd
Berwyn, PA 19312
Phone (610) 576-7500
23 Morris Ave
#219
Bryn Mawr, PA 19010
Phone (484) 883-6827
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
230 W Washington Sq
Ste 101
Philadelphia, PA 19106
Phone (215) 829-6320
800 Walnut St
Fl 8
Philadelphia, PA 19107
Phone (215) 829-5638
Interoperability endpoints
- jrose337844@directhoustonmethodist.org
Organizations & group practices 5
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.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Surgery Physician
- Philadelphia, PA
- NPI 1780072892
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1982833075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 1400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770305389",
"telephone_number": "832-325-7181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST STE 1400",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "832-325-7181",
"fax_number": "713-512-2200"
}
],
"practiceLocations": [
{
"address_1": "1401 St Joseph Pkwy",
"address_2": "GWS 3rd Floor",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77002",
"country_code": "US",
"telephone_number": "713-756-5148",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6410 Fannin St Ste 1400",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770305389",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6410 Fannin St Ste 1400",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770305389",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6410 Fannin St Ste 1400",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770305389",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6410 Fannin St Ste 1400",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770305389",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6410 Fannin St Ste 1400",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "832-325-7181",
"fax_number": "713-512-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "JESSICA",
"middle_name": "FAYNE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-09",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "R6887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.