DR. ALVIN I. ROSENTHAL M.D.
NPI 1134154016
Plastic Surgery - Surgery of the Hand in Lawrenceville, GA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
575 PROFESSIONAL DR STE 285, LAWRENCEVILLE, GA 30046(770) 682-3375(770) 682-3387 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Alvin I. Rosenthal M.d. NPPES

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

DR. ALVIN I. ROSENTHAL M.D. (NPI 1134154016) is an individual surgery of the hand provider in Lawrenceville, Georgia, licensed in Georgia (39926) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of University Of Missouri, Columbia School Of Medicine (1984).

NPPES Registry Identity

NPI1134154016
Entity TypeIndividualMale
Primary Taxonomy2082S0105X
Provider Legal NameDR. ALVIN I. ROSENTHALCredential: M.D.
Location Address575 PROFESSIONAL DR STE 285Lawrenceville, GA 30046-3355
Mailing Address575 Professional Dr Ste 285Lawrenceville, GA 30046-3355 · (770) 682-3375 · Fax (770) 682-3387
Fax(770) 682-3387
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1984
Enumeration DateJuly 11, 2006
Last NPPES UpdateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
✔ NPI 1134154016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic Surgery · Surgery of the HandAllopathic & Osteopathic Physicians
Taxonomy Code2082S0105X
License✔ Licensed in GA · 39926
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
575 PROFESSIONAL DR STE 285, Lawrenceville, GA 30046

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alvin I. Rosenthal 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 ID2163546912
PECOS Enrollment IDI20100831000172
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.

Areas of Expertise CMS Part B claims 4

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services29 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
17 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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

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

Specialist
575 PROFESSIONAL DR STE 285
LAWRENCEVILLE, GA 30046

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 Alvin Rosenthal's NPI number?

The NPI number for Alvin Rosenthal is 1134154016. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Alvin Rosenthal located?

Alvin Rosenthal practices at 575 Professional Dr Ste 285, Lawrenceville, GA 30046. The listed phone number is (770) 682-3375.

What is Alvin Rosenthal's specialty?

The primary specialty registered for this NPI is Plastic Surgery, specializing in Surgery of the Hand, with taxonomy code 2082S0105X.

Is Alvin Rosenthal enrolled in Medicare?

Yes. Alvin Rosenthal 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.

What insurance does Alvin Rosenthal accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Alvin Rosenthal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alvin Rosenthal affiliated with any hospitals?

According to CMS data, Alvin Rosenthal is affiliated with Northside Hospital Gwinnett and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Alvin Rosenthal was last updated on December 12, 2022. 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.