MARA ROSENBERG
NPI 1902396302
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment
490 ILLINOIS ST FL 8, SAN FRANCISCO, CA 94143(415) 353-2800 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2023, Mar 23, 2020, May 11, 2018 (3 updates tracked since 2018).

About Mara Rosenberg NPPES

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

MARA ROSENBERG (NPI 1902396302) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2020).

NPPES Registry Identity

NPI1902396302
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARA ROSENBERG
Location Address490 ILLINOIS ST FL 8San Francisco, CA 94143-2510
Mailing Address490 Illinois St Fl 8San Francisco, CA 94143-2510
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2020
Enumeration DateMay 11, 2018
Last NPPES UpdateMay 4, 20233 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
NPI 1902396302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

490 ILLINOIS ST FL 8, San Francisco, CA 94143

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

Mara Rosenberg 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 ID8628490745
PECOS Enrollment IDI20240717001771
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
96 services41 patients

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Geriatric Medicine)
490 ILLINOIS ST FL 8
SAN FRANCISCO, CA 94143
Internal Medicine (Geriatric Medicine)
490 ILLINOIS ST FL 8
SAN FRANCISCO, CA 94143
Family Medicine
490 ILLINOIS ST FL 8
SAN FRANCISCO, CA 94143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902396302, enumerated as an "individual" on May 11, 2018.

The provider is located at 490 ILLINOIS ST FL 8 SAN FRANCISCO, CA 94143 and the phone number is (415) 353-2800.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.