NPIMap

Individual provider Active NPI

Kelly H Rose, MD

  • Family Medicine Physician
  • Telford, PA
National Provider Identifier
1992752448
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD420329 Issued in PA
Practice address
211 Telford Pike
Telford, PA 18969-2251
Phone
(215) 723-7833
NPI assigned
May 30, 2006
Last updated
Jan 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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 MD420329 PA Primary

Addresses

Primary practice location

211 Telford Pike
Telford, PA 18969-2251

Mailing address

211 Telford Pike
Telford, PA 18969-2251
Phone (215) 723-7833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000725 PA Practitioner - Family Practice 4688626724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Trivalley Primary Care PCGroup PAC ID 4981680923, 57 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

211 Telford Pike
Telford, PA 18969-2251
Phone (215) 723-7833

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD420329PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital Family Medicine CurrentSince Feb 1, 2005 Accepting new patients
Trivalley Primary Care, PC Family Medicine CurrentSince Jul 1, 2003 Accepting new patients
Abington Memorial Hospital CurrentSince Feb 1, 2005 Accepting new patients
Peter Becker Community Past Accepting new patients
Hatfield Mennonite Home Past Accepting new patients
Abington Memorial Hospital PastSince Jan 1, 2016 Accepting new patients
Souderton Mennonite Homes Past Accepting new patients

Locations

1235 Old York Rd
Ste G121
Abington, PA 19001
Phone (215) 517-1200

500 York Rd
Ste 108
Jenkintown, PA 19046
Phone (215) 481-2725

519 S 5th St
Ste 130
Perkasie, PA 18944
Phone (215) 257-8601

777 Route 113
Ofc
Souderton, PA 18964
Phone (215) 723-3280

211 Telford Pike
Telford, PA 18969
Phone (215) 723-7833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA
  • Direct secure messaging: kelly.rose@tvpc.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Grace Inspired LivingTelford, PA, CCN 395804 Skilled nursing facility Corporate Director Jan 1, 2023
The Community at RockhillSellersville, PA, CCN 395497 Skilled nursing facility Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1992752448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 TELFORD PIKE",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692251",
            "telephone_number": "215-723-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 TELFORD PIKE",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692251",
            "telephone_number": "215-723-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KELLY",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD420329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Telford, PA

Sources for this page

Verify at the official NPI Registry.