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MRS. JIMENA VIZARRETA ROSAS M.D.
NPI 1033904941
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 11, 2025PECOS Enrolled
55 FRUIT STREET, BOSTON, MA 02114(617) 732-5500 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2025, Apr 11, 2025 (2 updates tracked since 2025).

About Mrs. Jimena Vizarreta Rosas M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JIMENA VIZARRETA ROSAS M.D. (NPI 1033904941) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033904941
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMRS. JIMENA VIZARRETA ROSASCredential: M.D.
Location Address55 FRUIT STREETBoston, MA 02114
Mailing Address551 Brookline Ave, Apt 3Boston, MA 02445 · (914) 304-7982
Phone(617) 732-5500
Sole ProprietorNo
Enumeration DateApril 11, 2025
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
✔ NPI 1033904941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 FRUIT STREET, Boston, MA 02114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jimena Vizarreta Rosas M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KUI TOH GERARD LEONG M.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Suffolk County (617) 726-8862
MS. JACQUELINE BANGO LICSW
Social Worker (Clinical)
55 FRUIT STREET, FOUNDERS BUILDING SUITE 880
BOSTON, MA 02114
Suffolk County (617) 643-8281
SARA ELIZABETH GROSSLEIN PA
Physician Assistant
55 FRUIT STREET, WHITE 1
BOSTON, MA 02114
Suffolk County (617) 724-4100
JEFFREY M ELLENBOGEN M.D.
Psychiatry & Neurology (Neurology)
55 FRUIT STREET, WANG 720 (NEUROLOGY)
BOSTON, MA 02114
Suffolk County (617) 724-7419
DR. NANCY LEE HARRIS MD
Pathology (Anatomic Pathology & Clinical Pathology)
55 FRUIT STREET, WRN 2 PATHOLOGY ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-5155
DR. STANLEY YANG SHAW MD PHD
Internal Medicine (Cardiovascular Disease)
55 FRUIT STREET, YAW 5 CARDIAC UNIT ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 724-6750
LEONARDO V RIELLA M.D., PHD
Internal Medicine
55 FRUIT STREET, WHITE 5
BOSTON, MA 02114
Suffolk County (617) 726-5050
SUSAN MAHER CRNA
Nurse Anesthetist, Certified Registered
55 FRUIT STREET, CLN 309 MGH ANESTHESIA ASSOCIATES
BOSTON, MA 02114
Suffolk County (617) 726-3030

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 Jimena Vizarreta Rosas's NPI number?

The NPI number for Jimena Vizarreta Rosas is 1033904941. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Jimena Vizarreta Rosas located?

Jimena Vizarreta Rosas practices at 55 Fruit Street, Boston, MA 02114. The listed phone number is (617) 732-5500.

What is Jimena Vizarreta Rosas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jimena Vizarreta Rosas enrolled in Medicare?

Yes. Jimena Vizarreta Rosas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jimena Vizarreta Rosas was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.