DR. FREDERICK S ROSEN (MD) – Pediatric Otolaryngology Physician, NPI 1063502839
Pediatric Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
233 PREVENTIVE MEDICINE in CA
Provider Addresses for DR. FREDERICK S ROSEN (MD)
1181 CENTRAL BLVD STE B
BRENTWOOD, CA 945132252
Phone: (925) 463-0336
Fax: (925) 463-1387
Type: Location
Alameda Medical Offices, 2417, Central Avenue, East End, Alameda, Alameda County, California, 94502, United States
ALAMEDA, CA 945016977
Phone: (925) 463-0336
Fax: (925) 463-1387
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190911001650 | I | Preventive Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 0124A | Adm sarscv2 bvl 30mcg/.3ml a | 136 | 136 | $0 |
| G0008 | Administration of influenza virus vaccine | 130 | 129 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 124 | 123 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 110 | 110 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 110 | 110 | $0 |
Insurance plans in this area (ZIP 94513)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | CA | |
| Preventive Medicine, Pediatric Medicine | CA | |
| Clinical Social Worker | NC |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.