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ROSENBERG ACOSTA REYES M.D. NPI 1861465254


NPI Information

NPI: 1861465254
Provider Name: ROSENBERG ACOSTA REYES, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 18D1022384

Address:
320 WEST WOODLAWN AVE
LOUISVILLE, KY
ZIP 40214
Phone: (502) 368-2563
Get Directions

Rosenberg Acosta Reyes, M.D. is a family medicine in Louisville, KY with 37 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Rosenberg Acosta Reyes, M.D. NPI is 1861465254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 WEST WOODLAWN AVE
LOUISVILLE, KY
ZIP 40214
Phone: (502) 368-2563
Fax: (502) 368-2427

The NPI 1861465254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 18D1022384 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

The enumeration date for this NPI number is 2/8/2006 and was last updated on 11/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine35249KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1080178783OTHERKENTUCKYRR MEDICARE PROV. ID
2G97206MEDICARE UPINKENTUCKY
3595419196OTHERKENTUCKYMEDICARE PTAN
41898201MEDICARE PIN
5000000209925OTHERKENTUCKYANTHEM PROVIDER ID
6000000209925OTHERBCBS ANTHEM ID
764004104MEDICAIDKENTUCKY
81158227OTHERKENTUCKYPASSPORT PROV. ID
9G97206MEDICARE UPIN
101898201MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.