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MS. KATHLEEN M ROSE PA
NPI 1518958065
Specialist in Worcester, MA

Active since November 03, 2005PECOS Enrolled
100 MARTIN LUTHER KING JR. BLVD., WORCESTER, MA 01608(508) 754-3823(508) 753-0151 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kathleen M Rose Pa NPPES

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

MS. KATHLEEN M ROSE PA (NPI 1518958065) is an individual specialist in Worcester, Massachusetts, licensed in Massachusetts (106) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518958065
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMS. KATHLEEN M ROSECredential: PA
Location Address100 MARTIN LUTHER KING JR. BLVD.Worcester, MA 01608-1209
Mailing Address100 Martin Luther King Jr. Blvd.Worcester, MA 01608-1209 · (508) 754-3823 · Fax (508) 753-0151
Phone(508) 754-3823
Fax(508) 753-0151
Sole ProprietorNo
Enumeration DateNovember 3, 2005
Last NPPES UpdateJuly 11, 2011
✔ NPI 1518958065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 106
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.
100 MARTIN LUTHER KING JR. BLVD., Worcester, MA 01608
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Other Identifiers 1

Medicare UPINS70181MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kathleen M Rose Pa 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.

Other Providers at the Same Location NPPES

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

SETH G. KATES M.D.
Dermatology
100 MARTIN LUTHER KING JR. BLVD.
WORCESTER, MA 01608
Worcester County (508) 754-3823

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 Kathleen Rose's NPI number?

The NPI number for Kathleen Rose is 1518958065. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Kathleen Rose located?

Kathleen Rose practices at 100 Martin Luther King Jr. Blvd., Worcester, MA 01608. The listed phone number is (508) 754-3823.

What is Kathleen Rose's specialty?

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

Is Kathleen Rose enrolled in Medicare?

Yes. Kathleen Rose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Rose was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.