DR. RICHARD K.T. ROSE M.D. NPI 1053380634

NPI Information

  • NPI: 1053380634
  • Provider Name: DR. RICHARD K.T. ROSE, M.D.
  • Classification: Orthopaedic Surgery - 207XS0114X
  • Specialization: Adult Reconstructive Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9961 SIERRA AVE
    MOB # 3
    FONTANA, CA
    ZIP 92335
  • Phone: (909) 427-4549

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NPI Details

DR. Richard K.t. Rose, M.D. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Fontana, CA with 28 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. DR. Richard K.t. Rose, M.D. NPI is 1053380634. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1998

The provider's business location address is:

9961 SIERRA AVE
MOB # 3
FONTANA, CA
ZIP 92335-720
Phone: (909) 427-4549
Fax: (909) 427-7086

The NPI 1053380634 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 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.

  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)

The enumeration date for this NPI number is 3/16/2006 and was last updated on 12/2/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryMD12937HAWAIINo
2207X00000XOrthopaedic SurgeryA71631CALIFORNIANo
3207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryMD12937HAWAIINo
4207XX0005XOrthopaedic SurgerySports MedicineMD12937HAWAIINo
5207XX0801XOrthopaedic SurgeryOrthopaedic TraumaMD12937HAWAIINo
6207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryA71631CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
156682001MEDICAIDHAWAII
2MD12937-01OTHERHAWAIIQUEENSHEALTHCARE/MDX
3084813001OTHERHAWAIIDMERC
4247361OTHERHAWAIIHMSA

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: 11/21/2025

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