MR. SIMON EDWIN ROSELAAR MD NPI 1689626632

NPI Information

  • NPI: 1689626632
  • Provider Name: MR. SIMON EDWIN ROSELAAR, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5045 W GRANDE MARKET DR
    APPLETON, WI
    ZIP 54913
  • Phone: (920) 886-9380

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NPI Details

MR. Simon Edwin Roselaar, MD is a cardiovascular disease internal medicine in Appleton, WI with 32 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MR. Simon Edwin Roselaar, MD NPI is 1689626632. 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:

5045 W GRANDE MARKET DR
APPLETON, WI
ZIP 54913-517
Phone: (920) 886-9380
Fax: (920) 886-9381

The NPI 1689626632 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, regadenoson, 0.1 mg (HCPCS:J2785)
  • Injection, propofol, 10 mg (HCPCS:J2704)
  • Technetium tc-99m tetrofosmin, diagnostic, per study dose (HCPCS:A9502)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, octafluoropropane microspheres, per ml (HCPCS:Q9956)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Electrocardiogram (ecg) 2-day continuous with review and report by health care professional (HCPCS:93224)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Magnesium level (HCPCS:83735)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • Injection, aminophyllin, up to 250 mg (HCPCS:J0280)
  • Ultrasound of heart blood flow, valves and chambers, follow-up (HCPCS:93321)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Blood creatinine level (HCPCS:82565)
  • Analysis of data from ct study of heart blood vessels to assess severity of heart artery disease, with interpretation and report (HCPCS:0501T)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)

The enumeration date for this NPI number is 5/17/2006 and was last updated on 3/26/2020.

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
1207R00000XInternal Medicine40974-020WISCONSINNo
2207UN0901XNuclear MedicineNuclear Cardiology40974-020WISCONSINNo
3207RC0000XInternal MedicineCardiovascular Disease40974-020WISCONSINYes

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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