KEITH DANIEL ROSOL MD
NPI 1760573695
Radiology - Diagnostic Radiology in Grand Rapids, MI

Q: What is Keith Rosol's NPI number?

The NPI number for Keith Rosol is 1760573695. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Keith Rosol's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Keith Rosol was last updated on August 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 27, 2006PECOS Enrolled

200 JEFFERSON SE, GRAND RAPIDS, MI 49503(616) 364-6700(616) 364-4960 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2020, Sep 10, 2019 (2 updates tracked since 2019).

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About Keith Daniel Rosol Md NPPES

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

KEITH DANIEL ROSOL MD (NPI 1760573695) is an individual diagnostic radiology provider in Grand Rapids, Michigan, licensed in Michigan (4301064028) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760573695

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameKEITH DANIEL ROSOLCredential: MD

Location Address200 JEFFERSON SEGrand Rapids, MI 49503

Mailing AddressPo Box 5329Saginaw, MI 48603-0329 · (616) 364-6700 · Fax (989) 401-4235

Phone(616) 364-6700

Fax(616) 364-4960

Sole ProprietorNo

Enumeration DateSeptember 27, 2006

Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration

NPPES CertifiedAugust 31, 2020

✔ NPI 1760573695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MI · 4301064028

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

200 JEFFERSON SE, Grand Rapids, MI 49503

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Other Identifiers 2

Medicaid4102564100MI

Other300103083MI · Rr Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Daniel Rosol 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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