EDWARD ROSE MD
NPI 1366458952
Pediatrics - Pediatric Gastroenterology in Albuquerque, NM

NPI Status: Active since August 01, 2006

Contact Information

1127 UNIVERSITY BLVD SE
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 272-5200
Fax: (505) 272-5750

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  • Individual
  • Male
  • Pediatrics
  • Pediatric Gastroenterology
  • PECOS Enrolled

About EDWARD ROSE

This page provides the complete NPI Profile along with additional information for Edward Rose, a pediatrician established in Albuquerque, New Mexico with a medical specialization in Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1366458952 assigned on August 2006. The practitioner's primary taxonomy code is 2080P0206X with license number 84-107 (NM). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1366458952
Provider Name
EDWARD ROSE MD
Gender
Male
Entity Type
Individual
Location Address
1127 UNIVERSITY BLVD SE ALBUQUERQUE, NM 87102
Location Phone
(505) 272-5200
Location Fax
(505) 272-5750
Mailing Address
933 BRADBURY DR SE SUITE 2222 ALBUQUERQUE, NM 87106
Mailing Phone
(505) 272-3120
Mailing Fax
(505) 272-5750
Is Sole Proprietor?
No
Enumeration Date
08-01-2006
Last Update Date
05-15-2012
Code Navigator

A pediatrician like Edward Rose is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Gastroenterology

Taxonomy Code
2080P0206X
Type
Allopathic & Osteopathic Physicians
License No.
84-107
License State
NM
Taxonomy Description
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Medicare Participation & PECOS Enrollment Status

Edward Rose is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 87102 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.21
  • Minimum New Patient Price $54.26
  • Maximum New Patient Price $166.8
  • Average New Patient Copayment $31.55
  • Minimum New Patient Copayment $13.56
  • Maximum New Patient Copayment $41.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.38
  • Minimum Established Patient Price $17
  • Maximum Established Patient Price $135.35
  • Average Established Patient Copayment $24.09
  • Minimum Established Patient Copayment $4.25
  • Maximum Established Patient Copayment $33.83

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366458952, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 8 + 5 + 1 + 6 + 9 + 1 + 0 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1366458952.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366458952, enumerated as an "individual" on August 01, 2006.

The provider is located at 1127 UNIVERSITY BLVD SE ALBUQUERQUE, NM 87102 and the phone number is (505) 272-5200.

Pediatrics with taxonomy code 2080P0206X and a focus in Pediatric Gastroenterology.