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DR. RYAN DOUGLAS ROSEN DO
NPI 1588207948
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since October 17, 2019PECOS Enrolled
4160 JOHN R ST STE 615, DETROIT, MI 48201(248) 752-4395 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 23, 2020, Oct 17, 2019 (2 updates tracked since 2019).

About Dr. Ryan Douglas Rosen Do NPPES

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

DR. RYAN DOUGLAS ROSEN DO (NPI 1588207948) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588207948
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RYAN DOUGLAS ROSENCredential: DO
Location Address4160 JOHN R ST STE 615Detroit, MI 48201-2022
Mailing Address4160 John R St Ste 615Detroit, MI 48201-2022 · (248) 752-4395
Phone(248) 752-4395
Sole ProprietorNo
Enumeration DateOctober 17, 2019
Last NPPES UpdateApril 23, 20202 updates tracked since enumeration
NPPES CertifiedApril 23, 2020
✔ NPI 1588207948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4160 JOHN R ST STE 615, Detroit, MI 48201
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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 (PECOS)

Dr. Ryan Douglas Rosen Do 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 20

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

WILLIAM DEAN JACOBUS DO
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ALFREDO MUNOZ-LAROCHE MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
VEDA VYAS GOKULA MD, MBA
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ZAYD AYAS
Surgery
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
ROOZBEH MANSOUR MD
Surgery
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-8773
MR. MOHAMEDALMORTDA KHAIRALSEED MD
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
JESSICA A JOHNS MD
Emergency Medicine
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195
DR. MARILEE JA CLUNK M.D.
Student in an Organized Health Care Education/Training Program
4160 JOHN R ST STE 615
DETROIT, MI 48201
Wayne County (313) 745-4195

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 Ryan Rosen's NPI number?

The NPI number for Ryan Rosen is 1588207948. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Where is Ryan Rosen located?

Ryan Rosen practices at 4160 John R St Ste 615, Detroit, MI 48201. The listed phone number is (248) 752-4395.

What is Ryan Rosen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Rosen enrolled in Medicare?

Yes. Ryan Rosen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Rosen was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.