Individual provider Active NPI

Matthew H. Rosen, M.D.

  • Family Medicine Physician
  • Oviedo, FL
National Provider Identifier
1992801187
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME73173 Issued in FL
Practice address
798 Executive Dr
Oviedo, FL 32765-6392
Phone
(407) 359-8580
Fax
(407) 359-8364
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X ME73173 FL
Family Medicine Physician 207Q00000X ME73173 FL Primary

Addresses

Primary practice location

798 Executive Dr
Oviedo, FL 32765-6392

Mailing address

798 Executive Dr
Oviedo, FL 32765-6392
Phone (407) 359-8580

Other practice location 1

1000 W Broadway St
Suite 102
Oviedo, FL 32765-9260
Phone (407) 359-8580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100811000368 FL Practitioner - Family Practice 8820138118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Seminole Sports and Family Medicine, PAGroup PAC ID 0840330130, 2 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

798 Executive Dr
Oviedo, FL 32765-6392
Phone (407) 359-8580

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Orlando, FL, CCN 107234
  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73173FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seminole Sports & Family Medicine, PA Family Medicine CurrentSince Jul 1, 2000 Accepting new patients

Locations

1000 W Broadway St
Ste 102
Oviedo, FL 32765
Phone (407) 359-8580

798 Executive Dr
Oviedo, FL 32765
Phone (407) 359-8580

Organizations & group practices 1

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 5

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1992801187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 EXECUTIVE DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656392",
            "telephone_number": "407-359-8580",
            "fax_number": "407-359-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 EXECUTIVE DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656392",
            "telephone_number": "407-359-8580",
            "fax_number": "407-359-8364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Broadway St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327659260",
            "country_code": "US",
            "telephone_number": "407-359-8580",
            "fax_number": "407-359-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "MATTHEW",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME73173",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME73173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.