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DR. RICHARD PAUL DE ROSA M.D.
NPI 1124002308
Surgery in Mesa, AZ

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
4320 E. PRESIDIO STREET, #101, MESA, AZ 85215(480) 706-9430(480) 378-2273 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Richard Paul De Rosa M.d. NPPES

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

DR. RICHARD PAUL DE ROSA M.D. (NPI 1124002308) is an individual surgery provider in Mesa, Arizona, licensed in Arizona (43987) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1973).

NPPES Registry Identity

NPI1124002308
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RICHARD PAUL DE ROSACredential: M.D.
Location Address4320 E. PRESIDIO STREET, #101Mesa, AZ 85215-1165
Mailing Address5155 E. Eagle Drive, #20730Mesa, AZ 85277-3031 · (480) 706-9430 · Fax (480) 378-2273
Phone(480) 706-9430
Fax(480) 378-2273
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1973
Enumeration DateDecember 1, 2005
Last NPPES UpdateAugust 12, 2015
✔ NPI 1124002308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in AZ · 43987✔ Licensed in DC · MD10699
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4320 E. PRESIDIO STREET, Mesa, AZ 85215
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Other Identifiers 4

Other020034128Medicare Railroaders
Medicare UPINC61471DC
Medicare ID-Type Unspecified405951DC · Provider Id#
Medicare PIN007703F51

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

Dr. Richard Paul De Rosa M.d. 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.

PECOS PAC ID7416116603
PECOS Enrollment IDI20140812002263
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Richard De Rosa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valleywide Surgical Services, LLC
Same address
Surgery
4320 E. PRESIDIO ST., #101
Mesa, AZ 85215
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1912116633 (480) 706-9430
R Derosa Surgery LLC
30 mi
Surgery
18701 N 67TH AVE
Glendale, AZ 85308
  • Reassigned Medicare billing, Arizona enrollment
NPI 1871209494 (623) 561-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85215 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 5

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

LEIGH PAVLIK PA-C
Physician Assistant (Surgical)
4320 E. PRESIDIO STREET, #101
MESA, AZ 85215
Maricopa County (480) 706-9430
MR. THOMAS BRYAN WIGGINS JR. CSA
Physician Assistant (Surgical)
4320 E. PRESIDIO STREET, #101
MESA, AZ 85215
Maricopa County (480) 706-9430
CHRISTOPHER TODD SELLERS CSA
Physician Assistant (Surgical)
4320 E. PRESIDIO STREET, #101
MESA, AZ 85215
Maricopa County (480) 706-9430
MS. KATHRYN SUZANNE DOYLE CRNFA
Physician Assistant (Surgical)
4320 E. PRESIDIO STREET, #101
MESA, AZ 85215
Maricopa County (480) 706-9430
MRS. TARA THOMPSON PA-C
Physician Assistant
4320 E. PRESIDIO STREET, #101
MESA, AZ 85215
Maricopa County (480) 706-9430

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 Richard De Rosa's NPI number?

The NPI number for Richard De Rosa is 1124002308. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Richard De Rosa located?

Richard De Rosa practices at 4320 E. Presidio Street #101, Mesa, AZ 85215. The listed phone number is (480) 706-9430.

What is Richard De Rosa's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard De Rosa enrolled in Medicare?

Yes. Richard De Rosa 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 organizations bill Medicare for Richard De Rosa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard De Rosa reassigns Medicare benefits to 2 organizations: Valleywide Surgical Services, LLC (Mesa, AZ) and R Derosa Surgery LLC (Glendale, AZ). Each 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 Richard De Rosa'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 Richard De Rosa was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.