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DR. MARIA CARMELA NAZARENO ROSALES M.D.
NPI 1780706762
Internal Medicine - Nephrology in San Jose, CA

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
2360 MCKEE RD, SUITE 10, SAN JOSE, CA 95116(408) 729-7128(408) 729-4125 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Maria Carmela Nazareno Rosales M.d. NPPES

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

DR. MARIA CARMELA NAZARENO ROSALES M.D. (NPI 1780706762) is an individual nephrology provider in San Jose, California, licensed in California (54935) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1780706762
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MARIA CARMELA NAZARENO ROSALESCredential: M.D.
Location Address2360 MCKEE RD, SUITE 10San Jose, CA 95116-1618
Mailing Address2360 Mckee Rd, Suite 10San Jose, CA 95116-1618 · (408) 729-7128 · Fax (408) 729-4125
Phone(408) 729-7128
Fax(408) 729-4125
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 24, 2014
✔ NPI 1780706762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · 54935
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2360 MCKEE RD, San Jose, CA 95116
Open in Google Maps ↗

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

Dr. Maria Carmela Nazareno Rosales 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 ID5991890477
PECOS Enrollment IDI20140903000923
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 Maria Carmela Rosales reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara
0.3 mi
Federally Qualified Health Center (FQHC)
1993 MCKEE RD
San Jose, CA 95116
  • Reassigned Medicare billing, California enrollment
  • 2,460 clinicians in this Medicare group
NPI 1326033929 (408) 885-5000

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

Areas of Expertise CMS Part B claims 6

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.

Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
176 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
114 services47 patients
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.
54 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services26 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
50 services27 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.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
57%35 patients3/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

MCKEE SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
2360 MCKEE RD, SUITE 6
SAN JOSE, CA 95116
Santa Clara County (408) 228-0101
WEN KUAN L.AC.
Acupuncturist
2360 MCKEE RD, SUITE 8
SAN JOSE, CA 95116
Santa Clara County (408) 502-8388
AIMEE DESIREE ANHTHU PHAM L.AC.
Acupuncturist
2360 MCKEE RD, SUITE 8
SAN JOSE, CA 95116
Santa Clara County (408) 926-9787
SAN JOSE NEPHROLOGY MEDICAL PRACTICE
Internal Medicine (Nephrology)
2360 MCKEE RD, SUITE 10
SAN JOSE, CA 95116
Santa Clara County (408) 729-7128
JUSTINE CHEN D.D.S.
Dentist
2360 MCKEE RD, SUITE #2
SAN JOSE, CA 95116
Santa Clara County (408) 729-8888
RICHARD S ENG M.D.
Oral & Maxillofacial Surgery
2360 MCKEE RD
SAN JOSE, CA 95116
Santa Clara County (408) 923-1010
MAGGIE CHEN MD
Internal Medicine (Nephrology)
2360 MCKEE RD, STE #10
SAN JOSE, CA 95116
Santa Clara County (408) 729-7128
SOUTH BAY NEPHROLOGY ASSOCIATES, PC
Internal Medicine (Nephrology)
2360 MCKEE RD, SUITE 10
SAN JOSE, CA 95116
Santa Clara County (408) 729-7128

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 Maria Carmela Rosales's NPI number?

The NPI number for Maria Carmela Rosales is 1780706762. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Maria Carmela Rosales located?

Maria Carmela Rosales practices at 2360 Mckee Rd Suite 10, San Jose, CA 95116. The listed phone number is (408) 729-7128.

What is Maria Carmela Rosales's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Maria Carmela Rosales enrolled in Medicare?

Yes. Maria Carmela Rosales 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 Maria Carmela Rosales's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Carmela Rosales reassigns Medicare benefits to County Of Santa Clara (San Jose, CA). 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 Maria Carmela Rosales'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 Maria Carmela Rosales was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.