IVAN M ROSAS PA-C
NPI 1316776222
Physician Assistant in Bridgeport, CT

Q: What is Ivan Rosas's NPI number?

The NPI number for Ivan Rosas is 1316776222. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Q: What is Ivan Rosas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ivan Rosas was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 July 29, 2024PECOS EnrolledAccepts Medicare Assignment

2979 MAIN ST, BRIDGEPORT, CT 06606(203) 683-5100 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, Jul 29, 2024 (2 updates tracked since 2024).

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About Ivan M Rosas Pa-c NPPES

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

IVAN M ROSAS PA-C (NPI 1316776222) is an individual physician assistant in Bridgeport, Connecticut, licensed in Connecticut (6913) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316776222

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameIVAN M ROSASCredential: PA-C

Location Address2979 MAIN STBridgeport, CT 06606-4284

Mailing Address1290 Silas Deane HwyWethersfield, CT 06109-4337 · (203) 962-3402

Phone(203) 683-5100

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 29, 2024

Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 29, 2025

✔ NPI 1316776222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CT · 6913

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2979 MAIN ST, Bridgeport, CT 06606

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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

Ivan M Rosas Pa-c 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 ID7810427119

PECOS Enrollment IDI20250214002318

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 06606 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

DANIELLE C RIVERA

Nurse Practitioner (Family)