Individual provider Active NPI

Matthew Rose, DO

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1992334130
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5242 Issued in TN
Practice address
7380 Volkswagen Dr
Chattanooga, TN 37416-1760
Phone
(423) 778-8950
NPI assigned
Apr 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5242 TN Primary

Addresses

Primary practice location

7380 Volkswagen Dr
Chattanooga, TN 37416-1760

Mailing address

7380 Volkswagen Dr
Chattanooga, TN 37416-1760
Phone (423) 778-8950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20240321003188 TN Practitioner - Family Practice 2264879535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

7380 Volkswagen Dr
Suite 110
Chattanooga, TN 37416-1761
Phone (423) 778-8950

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5242TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Feb 19, 2024 Accepting new patients
Erlanger Health Family Medicine CurrentSince Feb 19, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Family Medicine Past Accepting new patients

Locations

1100 E 3rd St
Chattanooga, TN 37403
Phone (423) 778-2957

7380 Volkswagen Dr
Ste 110
Chattanooga, TN 37416
Phone (423) 778-8950

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 3

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 1

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1992334130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 VOLKSWAGEN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161760",
            "telephone_number": "423-778-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 VOLKSWAGEN DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374161760",
            "telephone_number": "423-778-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "5242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.