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ANTHONY L ROSA M.D.
NPI 1245294941
Internal Medicine - Gastroenterology in Bala Cynwyd, PA

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment
10 PRESIDENTIAL BLVD, SUITE 124, BALA CYNWYD, PA 19004(610) 664-9700(610) 664-6391 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anthony L Rosa M.d. NPPES

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

ANTHONY L ROSA M.D. (NPI 1245294941) is an individual gastroenterology provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (MD427840) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Rutgers New Jersey Medical School (2000).

NPPES Registry Identity

NPI1245294941
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameANTHONY L ROSACredential: M.D.
Location Address10 PRESIDENTIAL BLVD, SUITE 124Bala Cynwyd, PA 19004-1107
Mailing Address10 Presidential Blvd, Suite 124Bala Cynwyd, PA 19004-1107 · (610) 664-9700 · Fax (610) 664-6391
Phone(610) 664-9700
Fax(610) 664-6391
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2000
Enumeration DateApril 12, 2006
Last NPPES UpdateSeptember 6, 2012
✔ NPI 1245294941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in PA · MD427840
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
10 PRESIDENTIAL BLVD, Bala Cynwyd, PA 19004
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINI48674PA
Medicare ID-Type Unspecified097643E2PPA
Medicaid101537650PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Anthony L 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 ID2264446541
PECOS Enrollment IDI20060126000451
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 10

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.

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.
112 services95 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
76 services75 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
73 services69 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services46 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
43 services42 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
33 services31 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
98%126 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%163 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

BRITTNI DIARRA BCBA
Behavior Analyst
10 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
Montgomery County (610) 401-1039
DR. IRA BRENNER M.D.
Psychiatry & Neurology (Psychiatry)
10 PRESIDENTIAL BLVD, SUITE 116
BALA CYNWYD, PA 19004
Montgomery County (610) 667-3183
MAIN LINE SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
10 PRESIDENTIAL BLVD, SUITE 200
BALA CYNWYD, PA 19004
Montgomery County (610) 660-9066
GASTROINTESTINAL SPECIALISTS INC
Internal Medicine (Gastroenterology)
10 PRESIDENTIAL BLVD, SUITE 124
BALA CYNWYD, PA 19004
Montgomery County (610) 664-9700
MRS. ROBERTA K BRENNER L.C.S.W.
Social Worker (Clinical)
10 PRESIDENTIAL BLVD, SUITE #118
BALA CYNWYD, PA 19004
Montgomery County (610) 667-5068
PRESLEY LANE COON BA
Behavior Technician
10 PRESIDENTIAL BLVD
BALA CYNWYD, PA 19004
Montgomery County (877) 763-2599
GREGORY D SCHAPIRO M.D.
Internal Medicine (Gastroenterology)
10 PRESIDENTIAL BLVD, SUITE 124
BALA CYNWYD, PA 19004
Montgomery County (610) 664-9700
PAUL B WEISBERG M.D.
Internal Medicine (Gastroenterology)
10 PRESIDENTIAL BLVD, SUITE 124
BALA CYNWYD, PA 19004
Montgomery County (610) 664-9700

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 Anthony Rosa's NPI number?

The NPI number for Anthony Rosa is 1245294941. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Anthony Rosa located?

Anthony Rosa practices at 10 Presidential Blvd Suite 124, Bala Cynwyd, PA 19004. The listed phone number is (610) 664-9700.

What is Anthony Rosa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Anthony Rosa enrolled in Medicare?

Yes. Anthony 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.

What insurance does Anthony Rosa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Anthony Rosa 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 Anthony Rosa affiliated with any hospitals?

According to CMS data, Anthony Rosa is affiliated with Jefferson Health- Northeast.

When was this NPI record last updated?

The NPPES record for Anthony Rosa was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.