ROSE J EAPEN M.D.
NPI 1861612772
Otolaryngology - Pediatric Otolaryngology in Manhattan Beach, CA

Active since April 26, 2007PECOS EnrolledAccepts Medicare Assignment
2809 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266(424) 218-6073(424) 226-3064 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2020, Jul 1, 2020 (2 updates tracked since 2020).

About Rose J Eapen M.d. NPPES

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

ROSE J EAPEN M.D. (NPI 1861612772) is an individual pediatric otolaryngology provider in Manhattan Beach, California, licensed in North Carolina (2012-00236) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Durham, and is a graduate of Duke University School Of Medicine (2005).

NPPES Registry Identity

NPI1861612772
Entity TypeIndividualFemale
Primary Taxonomy207YP0228X
Provider Legal NameROSE J EAPENCredential: M.D.
Location Address2809 N SEPULVEDA BLVDManhattan Beach, CA 90266-2727
Mailing Address2711 N Sepulveda Blvd # 520Manhattan Beach, CA 90266-2725 · (424) 218-6073 · Fax (424) 226-3064
Fax(424) 226-3064
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 2005
Enumeration DateApril 26, 2007
Last NPPES UpdateJuly 9, 20202 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
NPI 1861612772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
Licenses Licensed in NC · 2012-00236 Licensed in CA · G154556
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License G154556 (CA)
Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License G154556 (CA)
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License G154556 (CA)
Also ListedOtolaryngology · Otology & NeurotologyTaxonomy 207YX0901X · License G154556 (CA)
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 2012-00236 (NC), G154556 (CA)
2809 N SEPULVEDA BLVD, Manhattan Beach, CA 90266

Secondary Practice Location 1

Location 1Division Of Otolaryngology Head and Neck, DUMC 3805Durham, NC 27710-0001 · Phone (919) 681-6048

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

Rose J Eapen 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 ID4284882762
PECOS Enrollment IDI20250224001563
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.

Other Providers at the Same Location NPPES 8

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

Dermatology
2809 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266
Dermatology
2809 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266
Otolaryngology (Facial Plastic Surgery)
2809 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266
Obstetrics & Gynecology
2809 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266
Clinic/Center (Pain)
2809 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266
Otolaryngology (Facial Plastic Surgery)
2809 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2809 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2809 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266

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 Rose Eapen's NPI number?

The NPI number for Rose Eapen is 1861612772. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Rose Eapen located?

Rose Eapen practices at 2809 N Sepulveda Blvd, Manhattan Beach, CA 90266. The listed phone number is (424) 218-6073.

What is Rose Eapen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Rose Eapen enrolled in Medicare?

Yes. Rose Eapen 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.

When was this NPI record last updated?

The NPPES record for Rose Eapen was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.