DR. JENNIFER MAGDALENA ROSARIO (MD) – Pediatrics Physician, NPI 1083046403

DR. JENNIFER MAGDALENA ROSARIO (MD) is a healthcare provider. based in Troy, Michigan. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 4301103425 (MI). The NPI Number for DR. JENNIFER MAGDALENA ROSARIO (MD) is 1083046403

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER MAGDALENA ROSARIO (MD)
NPI
1083046403
Phone
(646) 671-2779
Address
2489 SOMERSET BLVD
Enumeration Date
8 August 2013
Last Update Date
20 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2175446464
Graduation Year
2005 (21 years ago)
PAC ID
1052543980
Group Practice PAC ID
4183984909
Professional Enrollment ID
I20161005002853

Contacts

Secure Messaging
jrosario167464@ewd.direct.hshs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. JENNIFER MAGDALENA ROSARIO (MD)

  • 2489 SOMERSET BLVD

    APT 213

    TROY, MI 480844003

    Phone: (646) 671-2779

    Type: Mailing

  • 800 E CARPENTER ST

    SPRINGFIELD, IL 627691000

    Phone: (217) 544-6464

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2023-07-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230726001885IPediatric MedicineGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48084)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183984909View full group profile

Reviews

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Frequently asked questions

What is DR. JENNIFER MAGDALENA ROSARIO (MD)'s NPI number?
DR. JENNIFER MAGDALENA ROSARIO (MD)'s NPI is 1083046403 — the number used across U.S. healthcare to identify this provider.
Is DR. JENNIFER MAGDALENA ROSARIO (MD) shown as active in public data?
Registry records indicate DR. JENNIFER MAGDALENA ROSARIO (MD) maintains an active NPI.
What kind of doctor is DR. JENNIFER MAGDALENA ROSARIO (MD)?
DR. JENNIFER MAGDALENA ROSARIO (MD) is associated with Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. JENNIFER MAGDALENA ROSARIO (MD) registered?
Use Troy, Michigan as the headline location for DR. JENNIFER MAGDALENA ROSARIO (MD) here.
When was this NPI issued?
Enumeration for DR. JENNIFER MAGDALENA ROSARIO (MD) is noted as August 8, 2013 where the registry provides it.

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