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MR. KENNETH M ROSE SR. MD
NPI 1710033584
Plastic Surgery in New York, NY

Active since January 26, 2007PECOS Enrolled
75 CENTRAL PARK W, NEW YORK, NY 10023(212) 888-7773(212) 421-7930 Get Directions Write a Review

NPPES record last updated: June 22, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Kenneth M Rose Sr. Md NPPES

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

MR. KENNETH M ROSE SR. MD (NPI 1710033584) is an individual plastic surgery provider in New York, New York, licensed in New York (188699) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710033584
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. KENNETH M ROSE SR.Credential: MD
Location Address75 CENTRAL PARK WNew York, NY 10023-6011
Mailing Address75 Central Park WNew York, NY 10023-6011 · (212) 888-7773 · Fax (212) 421-7930
Phone(212) 888-7773
Fax(212) 421-7930
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJune 22, 2009
✔ NPI 1710033584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NY · 188699
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 188699 (NY)
75 CENTRAL PARK W, New York, NY 10023
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Other Identifiers 5

Medicare ID-Type Unspecified29L061NY
OtherN28073NY · Healthnet
Other6015129NY · Ghi
Medicare UPING49909NY
Medicaid01776865NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth M Rose Sr. Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kenneth M. Rose, M.D., PLLC
Same address
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
75 CENTRAL PARK W
New York, NY 10023
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Kenneth M Rose MD PLLC
NPI 1770711301 (212) 888-7773

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10023 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. SCOTT J ZEVON M.D.
Plastic Surgery
75 CENTRAL PARK W
NEW YORK, NY 10023
New York County (212) 496-6600
DR. ELIZABETH A. ALMEYDA M.D.
Surgery (Plastic and Reconstructive Surgery)
75 CENTRAL PARK W
NEW YORK, NY 10023
New York County (212) 501-0600
PARK WEST SURGICAL GROUP LLC
Orthopaedic Surgery
75 CENTRAL PARK W
NEW YORK, NY 10023
New York County (201) 871-4000
LYNX IPA LLC
Health Maintenance Organization
75 CENTRAL PARK W
NEW YORK, NY 10023
New York County (201) 816-8500
KENNETH M. ROSE, M.D., PLLC
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
75 CENTRAL PARK W
NEW YORK, NY 10023
New York County (212) 888-7773

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 Kenneth Rose's NPI number?

The NPI number for Kenneth Rose is 1710033584. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Kenneth Rose located?

Kenneth Rose practices at 75 Central Park W, New York, NY 10023. The listed phone number is (212) 888-7773.

What is Kenneth Rose's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kenneth Rose enrolled in Medicare?

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

Which organization bills Medicare for Kenneth Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Rose reassigns Medicare benefits to Kenneth M. Rose, M.D., PLLC (New York, NY). 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 Kenneth Rose'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 Kenneth Rose was last updated on June 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.