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DOV ROSENBAUM
NPI 1932630910
Radiology - Pediatric Radiology in Philadelphia, PA

Active since March 22, 2017PECOS Enrolled
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(267) 425-9609 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2022, Nov 15, 2019, Jun 28, 2018 and 1 more (4 updates tracked since 2017).

About Dov Rosenbaum NPPES

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

DOV ROSENBAUM (NPI 1932630910) is an individual pediatric radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD478639) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932630910
Entity TypeIndividualMale
Primary Taxonomy2085P0229X
Provider Legal NameDOV ROSENBAUM
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319
Phone(267) 425-9609
Sole ProprietorNo
Enumeration DateMarch 22, 2017
Last NPPES UpdateSeptember 14, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2023
✔ NPI 1932630910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085P0229X
License✔ Licensed in PA · MD478639
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dov Rosenbaum 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 Dov Rosenbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn-Medical Group
Same address
Plastic Surgery
3400 CIVIC CENTER BLVD, SOUTH PAVILLION 1ST FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1194113118 (215) 662-7300

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

Other Providers at the Same Location NPPES 20

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

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Dov Rosenbaum's NPI number?

The NPI number for Dov Rosenbaum is 1932630910. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Dov Rosenbaum located?

Dov Rosenbaum practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (267) 425-9609.

What is Dov Rosenbaum's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Dov Rosenbaum enrolled in Medicare?

Yes. Dov Rosenbaum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dov Rosenbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dov Rosenbaum reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). 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 Dov Rosenbaum'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 Dov Rosenbaum was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.