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CARLY ROSEMORE MD
NPI 1366974727
Pediatrics - Pediatric Hematology-Oncology in Houston, TX

Active since April 03, 2017PECOS Enrolled
6411 FANNIN ST, HOUSTON, TX 77030(713) 704-4000(713) 704-5269 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carly Rosemore Md NPPES

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

CARLY ROSEMORE MD (NPI 1366974727) is an individual pediatric hematology-oncology provider in Houston, Texas, licensed in Texas (V2245) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366974727
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameCARLY ROSEMORECredential: MD
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing Address6411 Fannin StHouston, TX 77030-1501 · (713) 704-4000 · Fax (713) 704-5269
Phone(713) 704-4000
Fax(713) 704-5269
Sole ProprietorNo
Enumeration DateApril 3, 2017
Last NPPES UpdateOctober 22, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1366974727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TX · V2245
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6411 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11515 Holcombe BlvdHouston, TX 77030-4000 · Phone (713) 792-6161
Location 26431 Fannin St, Suite MSB 3.151Houston, TX 77030-1501 · Phone (713) 500-5800 · Fax (713) 500-5805

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Rosemore Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Carly Rosemore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ut Physicians
0.1 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325
Physicians Referral Service
0.5 mi
Multi-Specialty
1515 HOLCOMBE BLVD
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,675 clinicians in this Medicare group
NPI 1073574810 (713) 792-6161
Memorial Pediatric Group
1,426 mi
Pediatrics
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 220 clinicians in this Medicare group
NPI 1750352381 (646) 227-3813

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

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.

HASHIM ZAIDI M.D.
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7878
DAVID BALTRUSAITIS MD
Radiology (Diagnostic Radiology)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 797-5929
CYNTHIA MARSHA DANIS RN
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4000
MR. MICHAEL KENNETH HOWZE JR.
Anesthesiologist Assistant
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7160
STEPHEN M LARSON D.M.D.
Dentist (General Practice)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6200
STEPHEN G HECHT M.D.
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4060
VLADIMIR MELNIKOV M.D.
Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6200
MRS. CAROL JEAN UNDERWOOD BSN RN CCRC
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4230

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 Carly Rosemore's NPI number?

The NPI number for Carly Rosemore is 1366974727. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Carly Rosemore located?

Carly Rosemore practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 704-4000.

What is Carly Rosemore's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Carly Rosemore enrolled in Medicare?

Yes. Carly Rosemore is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carly Rosemore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Rosemore reassigns Medicare benefits to 3 organizations: Ut Physicians (Houston, TX), Physicians Referral Service (Houston, TX) and Memorial Pediatric Group (New York, NY). Each 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 Carly Rosemore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Rosemore accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Carly Rosemore 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.

When was this NPI record last updated?

The NPPES record for Carly Rosemore was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.