MARY ANN ROSE MD
NPI 1114901469
Radiology - Radiation Oncology in Santa Fe, NM

Q: What is Mary Rose's NPI number?

The NPI number for Mary Rose is 1114901469. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Mary Rose's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Mary Rose was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 30, 2005PECOS Enrolled

455 SAINT MICHAELS DR, SANTA FE, NM 87505(505) 913-8900 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Ann Rose Md NPPES

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

MARY ANN ROSE MD (NPI 1114901469) is an individual radiation oncology provider in Santa Fe, New Mexico, licensed in New Mexico (MD2015-0619) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114901469

Entity TypeIndividualFemale

Primary Taxonomy2085R0001X

Provider Legal NameMARY ANN ROSECredential: MD

Location Address455 SAINT MICHAELS DRSanta Fe, NM 87505-7601

Mailing Address455 Saint Michaels DrSanta Fe, NM 87505-7601

Phone(505) 913-8900

Sole ProprietorNo

Enumeration DateNovember 30, 2005

Last NPPES UpdateJuly 6, 2016

✔ NPI 1114901469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Licenses✔ Licensed in NM · MD2015-0619✔ Licensed in CA · C43111

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

455 SAINT MICHAELS DR, Santa Fe, NM 87505

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Other Identifiers 5

Medicare ID-Type Unspecified00C431110CA

Medicare PINBG366ZCA

Medicaid00C431110CA

Medicare PINBG321CA

Medicare UPINE01910CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ann Rose Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87505 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

$166.80 typical visit price

range $54.26 – $166.80

Typical copayment $41.70 (range $13.56 – $41.70)

Most-billed visit code 99205

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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 20

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

DR. WILLIAM KINLAW M.D.

Emergency Medicine