DR. MARK ELLIOT ROSEN DO
NPI 1942338009
Neuromusculoskeletal Medicine & OMM in Portola Valley, CA

Active since March 01, 2007Opted out of Medicare · through Mar 2, 2028
4370 ALPINE RD STE 205, PORTOLA VALLEY, CA 94028(650) 529-0304(650) 529-1479 Get Directions Write a Review

NPPES record last updated: February 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Elliot Rosen Do NPPES

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

DR. MARK ELLIOT ROSEN DO (NPI 1942338009) is an individual neuromusculoskeletal medicine & omm provider in Portola Valley, California, licensed in California (20 A 4880) and active in the NPI registry since March 2007. He has opted out of Medicare through March 2, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1942338009
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameDR. MARK ELLIOT ROSENCredential: DO
Location Address4370 ALPINE RD STE 205Portola Valley, CA 94028-7953
Mailing Address4370 Alpine Rd Ste 205Portola Valley, CA 94028-7953 · (650) 529-0304 · Fax (650) 529-1479
Fax(650) 529-1479
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateFebruary 1, 2014
NPI 1942338009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License Licensed in CA · 20 A 4880
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
4370 ALPINE RD STE 205, Portola Valley, CA 94028

Other Identifiers 2

Medicare UPINE 08836CA
Medicare PIN020A4880CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Mark Elliot Rosen Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 2, 2016 through March 2, 2028.

Opt-Out Effective DateMarch 2, 2016
Opt-Out In Effect ThroughMarch 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Mark Rosen's NPI number?

The NPI number for Mark Rosen is 1942338009. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Mark Rosen located?

Mark Rosen practices at 4370 Alpine Rd Ste 205, Portola Valley, CA 94028. The listed phone number is (650) 529-0304.

What is Mark Rosen's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Mark Rosen enrolled in Medicare?

No. Mark Rosen has opted out of Medicare through March 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mark Rosen was last updated on February 1, 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.