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DR. ELI ROSE M.D.
NPI 1104960665
Obstetrics & Gynecology - Gynecology in Tampa, FL

Active since February 17, 2007Opted out of Medicare · through Apr 1, 2028
2801 S MACDILL AVE, TAMPA, FL 33629(813) 871-6465 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eli Rose M.d. NPPES

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

DR. ELI ROSE M.D. (NPI 1104960665) is an individual gynecology provider in Tampa, Florida, licensed in Florida (23218) and active in the NPI registry since February 2007. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104960665
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. ELI ROSECredential: M.D.
Location Address2801 S MACDILL AVETampa, FL 33629-7223
Mailing Address3905 E Eden Roc CirTampa, FL 33634-7417 · (813) 886-7265 · Fax (813) 886-6731
Phone(813) 871-6465
Sole ProprietorYes
Enumeration DateFebruary 17, 2007
Last NPPES UpdateMarch 7, 2023
✔ NPI 1104960665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in FL · 23218
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
2801 S MACDILL AVE, Tampa, FL 33629
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Eli Rose M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33629 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVERSLIM LLC
Specialist
2801 S MACDILL AVE
TAMPA, FL 33629
Hillsborough County (813) 871-6465
YANEISY FUMERO ARNP
Nurse Practitioner (Family)
2801 S MACDILL AVE
TAMPA, FL 33629
Hillsborough County (813) 871-6465
BODY IMAGE LASER INSTITUTE
Specialist
2801 S MACDILL AVE
TAMPA, FL 33629
Hillsborough County (813) 871-6465

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 Eli Rose's NPI number?

The NPI number for Eli Rose is 1104960665. It was assigned to this individual provider in the NPPES registry on February 17, 2007.

Where is Eli Rose located?

Eli Rose practices at 2801 S Macdill Ave, Tampa, FL 33629. The listed phone number is (813) 871-6465.

What is Eli Rose's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Eli Rose enrolled in Medicare?

No. Eli Rose has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eli Rose was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.