NICHOLAS E. ROSE, MD, INC.
NPI 1265703854
Specialist in Newport Beach, CA

Active since January 13, 2012
360 SAN MIGUEL DR STE 701, NEWPORT BEACH, CA 92660(949) 759-3600(949) 759-0282 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas E. Rose, Md, Inc. NPPES

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

NICHOLAS E. ROSE, MD, INC. (NPI 1265703854) is a healthcare organization registered as a specialist in Newport Beach, California and active in the NPI registry since January 2012. The organization lists Karen Kawada, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1265703854
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNICHOLAS E. ROSE, MD, INC.
Location Address360 SAN MIGUEL DR STE 701Newport Beach, CA 92660-5927
Mailing Address360 San Miguel Dr Ste 701Newport Beach, CA 92660-5927 · (949) 759-3600 · Fax (949) 759-0282
Fax(949) 759-0282
Organization SubpartNo
Authorized OfficialKaren KawadaBilling Manager · (949) 270-0344
Enumeration DateJanuary 13, 2012
✔ NPI 1265703854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G74766
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
360 SAN MIGUEL DR STE 701, Newport Beach, CA 92660

Other Identifiers 2

OtherG74766CA · Medicare Provider
Medicare UPING47743CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas E. Rose, Md, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120113000348Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicholas E. Rose, MD, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Hand Surgery
NPI 1174550784
360 SAN MIGUEL DR SUITE#701
Newport Beach, CA 92660
(949) 759-3600
✔ PECOS✔ Accepts MedicareSame address

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

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 Nicholas E. Rose, MD, Inc.'s NPI number?

The NPI number for Nicholas E. Rose, MD, Inc. is 1265703854. It was assigned to this organization in the NPPES registry on January 13, 2012.

Where is Nicholas E. Rose, MD, Inc. located?

Nicholas E. Rose, MD, Inc. is located at 360 San Miguel Dr Ste 701, Newport Beach, CA 92660. The listed phone number is (949) 759-3600.

What is Nicholas E. Rose, MD, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nicholas E. Rose, MD, Inc. enrolled in Medicare?

Yes. Nicholas E. Rose, MD, Inc. is registered in the Medicare PECOS enrollment system.

When is Nicholas E. Rose, MD, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nicholas E. Rose, MD, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hand Surgery) reassigns their Medicare billing to Nicholas E. Rose, MD, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas E. Rose, MD, Inc. was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.