MICHAEL ROSE
NPI 1679144810
Podiatrist - Foot & Ankle Surgery in Cleveland, OH

Q: What is the provider's specialty?

The provider's specialty is Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.

Active since July 08, 2021PECOS EnrolledAccepts Medicare Assignment

2351 E 22ND ST, CLEVELAND, OH 44115(216) 861-6200 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Michael Rose NPPES

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

MICHAEL ROSE (NPI 1679144810) is an individual foot & ankle surgery provider in Cleveland, Ohio, licensed in Ohio (59.000922) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2021).

NPPES Registry Identity

NPI1679144810

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameMICHAEL ROSE

Location Address2351 E 22ND STCleveland, OH 44115-3111

Mailing Address2040 Doovys StAvon, OH 44011-1116 · (508) 446-5275

Phone(216) 861-6200

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2021

Enumeration DateJuly 8, 2021

NPPES CertifiedJuly 8, 2021

✔ NPI 1679144810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in OH · 59.000922

2351 E 22ND ST, Cleveland, OH 44115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Michael Rose 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 ID5294268074

PECOS Enrollment IDI20241031003614

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.