JONATHAN DANIEL ROSA D.C.
NPI 1609208164
Chiropractor in Bridgeport, CT
About Jonathan Daniel Rosa D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN DANIEL ROSA D.C. (NPI 1609208164) is an individual chiropractor in Bridgeport, Connecticut, licensed in Connecticut (1949) and active in the NPI registry since August 2013. He is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jonathan Daniel Rosa D.c. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jonathan Rosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bridgeport, CT 06604
- Reassigned Medicare billing, Connecticut enrollment
- 132 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jonathan Rosa's NPI number?
The NPI number for Jonathan Rosa is 1609208164. It was assigned to this individual provider in the NPPES registry on August 6, 2013.
Where is Jonathan Rosa located?
Jonathan Rosa practices at 955 Main St Apt 812, Bridgeport, CT 06604. The listed phone number is (787) 559-4057.
What is Jonathan Rosa's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jonathan Rosa enrolled in Medicare?
Yes. Jonathan Rosa 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.
Which organization bills Medicare for Jonathan Rosa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Rosa reassigns Medicare benefits to Optimus Health Care Inc (Bridgeport, CT). The 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 Jonathan Rosa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jonathan Rosa was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jonathan Daniel Rosa, D.C. · NPI 1609208164
Chiropractor provider in Bridgeport, Connecticut. Individual provider, active in the CMS NPPES registry since August 6, 2013.
## Identity
- **NPI:** 1609208164 (Entity type: Individual)
- **Enumerated:** August 6, 2013
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 1949 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 955 MAIN ST APT 812, Bridgeport, CT 06604-4336
- **Phone:** (787) 559-4057
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Optimus Health Care Inc (NPI 1215207782, Bridgeport, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 6, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1609208164) · Data from the CMS NPPES public registry.