JACK C ROSE
NPI 1003837675
Psychiatry & Neurology - Neurology in San Francisco, CA
About Jack C Rose NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK C ROSE (NPI 1003837675) is an individual neurology provider in San Francisco, California, licensed in California (A88152) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jack C Rose is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jack Rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fremont, CA 94538
- Reassigned Medicare billing, California enrollment
- 121 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
SAN FRANCISCO, CA 94115
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jack Rose's NPI number?
The NPI number for Jack Rose is 1003837675. It was assigned to this individual provider in the NPPES registry on July 21, 2006.
Where is Jack Rose located?
Jack Rose practices at 2100 Webster St 4th Floor, San Francisco, CA 94115. The listed phone number is (415) 600-5760.
What is Jack Rose's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Jack Rose enrolled in Medicare?
Yes. Jack Rose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jack Rose's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Rose reassigns Medicare benefits to Washington Township Medical Foundation (Fremont, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jack Rose was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jack C Rose · NPI 1003837675
Neurology physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1003837675 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** A88152 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2100 WEBSTER ST, 4TH FLOOR, San Francisco, CA 94115-2373
- **Phone:** (415) 600-5760
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Washington Township Medical Foundation (NPI 1669360681, Fremont, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 2000
## Record status
- **NPPES last updated:** October 26, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1003837675) · Data from the CMS NPPES public registry.