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DR. CARMEN MARIE ROSARIO M.D.
NPI 1629230446
Internal Medicine - Critical Care Medicine in Fort Worth, TX

Active since July 02, 2008PECOS EnrolledAccepts Medicare Assignment
91.96/100
CMS Quality Rating
1575 S MAIN ST, FORT WORTH, TX 76104(817) 702-3431(817) 702-3601 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Carmen Marie Rosario M.d. NPPES

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

DR. CARMEN MARIE ROSARIO M.D. (NPI 1629230446) is an individual critical care medicine provider in Fort Worth, Texas, licensed in Texas (S8906) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Ohio State University College Of Medicine (2007).

NPPES Registry Identity

NPI1629230446
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. CARMEN MARIE ROSARIOCredential: M.D.
Location Address1575 S MAIN STFort Worth, TX 76104-4901
Mailing Address401 E Ontario St, Apt 1505Chicago, IL 60611-3051 · (614) 203-5425
Phone(817) 702-3431
Fax(817) 702-3601
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2007
Enumeration DateJuly 2, 2008
Last NPPES UpdateNovember 16, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1629230446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in TX · S8906
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125053239 (IL)
1575 S MAIN ST, Fort Worth, TX 76104
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carmen Marie Rosario M.d. 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 ID143413716
PECOS Enrollment IDI20201119000886
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services26 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.78
Promoting Interoperability100
Improvement Activities40
Cost56.81

Other Providers at the Same Location NPPES 16

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

BHARTI RUGNATH CHAUDHARI D.O.
Emergency Medicine
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (614) 544-2780
MR. HUNTER PRICE LANGLEY FNP - BC
Nurse Practitioner (Family)
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-7895
JESSICA SAINT PA-C
Physician Assistant
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. SPENCER SAGE HEATH DO
Student in an Organized Health Care Education/Training Program
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-8828
KRYSTINA DAVIS
Registered Nurse
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-3431
RYNE BARKER JOHNSON FNP-C
Nurse Practitioner (Family)
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-2407
DR. FERRAN ROS D.O.
Emergency Medicine
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 921-3431
DR. SRINIVAS REDDY PULI M.D
Internal Medicine (Gastroenterology)
1575 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-3431

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 Carmen Rosario's NPI number?

The NPI number for Carmen Rosario is 1629230446. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Carmen Rosario located?

Carmen Rosario practices at 1575 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-3431.

What is Carmen Rosario's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Carmen Rosario enrolled in Medicare?

Yes. Carmen Rosario 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.

What insurance does Carmen Rosario 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 2 other insurers list Carmen Rosario 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.

Is Carmen Rosario affiliated with any hospitals?

According to CMS data, Carmen Rosario is affiliated with Jps Health Network.

When was this NPI record last updated?

The NPPES record for Carmen Rosario was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.