ROSE MEDICAL GROUP LTD NPI 1548277452

NPI Information

  • NPI: 1548277452
  • Provider Name: ROSE MEDICAL GROUP LTD
  • Classification: Internal Medicine - 207RR0500X
  • Specialization: Rheumatology
  • Entity Type: Organization
  • Address: 4600 MEMORIAL DR
    SUITE 480 MEDICAL BLDG #2
    BELLEVILLE, IL
    ZIP 62226
  • Phone: (618) 257-1490

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NPI Details

ROSE MEDICAL GROUP LTD is a rheumatology internal medicine in Belleville, IL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. ROSE MEDICAL GROUP LTD NPI is 1548277452. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4600 MEMORIAL DR
SUITE 480 MEDICAL BLDG #2
BELLEVILLE, IL
ZIP 62226-366
Phone: (618) 257-1490
Fax: (618) 222-6819

The provider's authorized official is Edward P Rose .
The authorized official title is Owner and has the following contact phone number (618) 257-1490.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 10/5/2007.

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
1207RR0500XInternal MedicineRheumatologyR4736MISSOURINo
2207RR0500XInternal MedicineRheumatologyILLINOISYes

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
1566410MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
28225530OTHERILLINOISIL BLUE CROSS BLUE SHIELD
3C43645MEDICARE UPIN

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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