Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MANUEL R ROSALES MD
NPI 1487656740
Family Medicine in Lake Ronkonkoma, NY

Active since June 01, 2005PECOS Enrolled
388 HAWKINS AVE, STE 1, LAKE RONKONKOMA, NY 11779(631) 588-8460(631) 588-8480 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manuel R Rosales Md NPPES

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

MANUEL R ROSALES MD (NPI 1487656740) is an individual family medicine provider in Lake Ronkonkoma, New York, licensed in New York (207409) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1487656740
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMANUEL R ROSALESCredential: MD
Location Address388 HAWKINS AVE, STE 1Lake Ronkonkoma, NY 11779-4280
Mailing Address388 Hawkins Ave, Ste 1Lake Ronkonkoma, NY 11779-4280 · (631) 588-8460 · Fax (631) 588-8480
Fax(631) 588-8480
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1487656740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 207409
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
388 HAWKINS AVE, Lake Ronkonkoma, NY 11779

Other Identifiers 1

Medicaid01762096NY

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

Manuel R Rosales Md 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 ID8224172937
PECOS Enrollment IDI20100218000714
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 21

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
699 services272 patients
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.
697 services281 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
666 services252 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
332 services146 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.
249 services198 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
198 services28 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11779 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%12,866 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
22%513 patients1/55-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…
18%889 patients1/55-star benchmark: 97%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 10% · 460 patients
23%460 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers28 claims96 services$6.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims24 services$1.22 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier17 claims17 services$13.60 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers36 claims36 services$194.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$21.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Hearing Aid Equipment
388 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Family Medicine
388 HAWKINS AVE, STE 1
LAKE RONKONKOMA, NY 11779
Family Medicine
388 HAWKINS AVE, STE 1
LAKE RONKONKOMA, NY 11779
Podiatrist
388 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Family Medicine
388 HAWKINS AVE, SUITE 1
LAKE RONKONKOMA, NY 11779
Podiatrist
388 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Optometrist
388 HAWKINS AVE, SUITE 2
LAKE RONKONKOMA, NY 11779
Optometrist
388 HAWKINS AVE, SUITE 2
LAKE RONKONKOMA, NY 11779

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 Manuel Rosales's NPI number?

The NPI number for Manuel Rosales is 1487656740. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Manuel Rosales located?

Manuel Rosales practices at 388 Hawkins Ave Ste 1, Lake Ronkonkoma, NY 11779. The listed phone number is (631) 588-8460.

What is Manuel Rosales's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Manuel Rosales enrolled in Medicare?

Yes. Manuel Rosales 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.

Is Manuel Rosales affiliated with any hospitals?

According to CMS data, Manuel Rosales is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Manuel Rosales was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.