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ROSE INTERNAL MEDICINE, P.C.
NPI 1992796718
Internal Medicine in Bloomington, IN

Active since November 01, 2005CLIA 15D1039614 · Waiver
2205 W SUDBURY DR, SUITE A, BLOOMINGTON, IN 47403(812) 961-1540(812) 961-1535 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rose Internal Medicine, P.c. NPPES

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

ROSE INTERNAL MEDICINE, P.C. (NPI 1992796718) is a healthcare organization registered as an internal medicine in Bloomington, Indiana and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Becky Rose, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1992796718
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameROSE INTERNAL MEDICINE, P.C.
Location Address2205 W SUDBURY DR, SUITE ABloomington, IN 47403-3737
Mailing Address2205 W Sudbury Dr, Suite ABloomington, IN 47403-3737 · (812) 961-1540 · Fax (812) 961-1535
Phone(812) 961-1540
Fax(812) 961-1535
Organization SubpartNo
Authorized OfficialBecky RoseOffice Manager · (812) 961-6961
Enumeration DateNovember 1, 2005
Last NPPES UpdateSeptember 22, 2011
✔ NPI 1992796718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01054413A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2205 W SUDBURY DR, Bloomington, IN 47403
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Other Identifiers 4

Medicare UPINH58102IN
Medicaid200513720AIN
OtherDD5526IN · Railroad Medicare
Medicare ID-Type Unspecified225960IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose Internal Medicine, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rose Internal Medicine, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Rose, MD
Internal Medicine
NPI 1477544153
2205 W SUDBURY DR SUITE A
Bloomington, IN 47403
(812) 961-1540
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1039614

Rose Internal Medicine PC · Bloomington, IN
Active · expires Apr 18, 2027
CLIA Number15D1039614
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorCharles H. Rose
Laboratory Phone(812) 961-1540
Laboratory LocationRose Internal Medicine PC2205 W Sudbury Ste A, Bloomington, IN 47403
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Internal Medicine, P.C.'s NPI number?

The NPI number for Rose Internal Medicine, P.C. is 1992796718. It was assigned to this organization in the NPPES registry on November 1, 2005.

Where is Rose Internal Medicine, P.C. located?

Rose Internal Medicine, P.C. is located at 2205 W Sudbury Dr Suite A, Bloomington, IN 47403. The listed phone number is (812) 961-1540.

What is Rose Internal Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rose Internal Medicine, P.C. enrolled in Medicare?

Yes. Rose Internal Medicine, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rose Internal Medicine, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Rose Internal Medicine, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rose Internal Medicine, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1039614) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rose Internal Medicine, P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Rose Internal Medicine, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rose Internal Medicine, P.C. was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.