DR. TODD ROSEN (MD) – Psychiatry Physician, NPI 1295763407

DR. TODD ROSEN (MD) is a healthcare provider. based in Flint, Michigan. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 049464 (MI). The NPI Number for DR. TODD ROSEN (MD) is 1295763407

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. TODD ROSEN (MD)
NPI
1295763407
Phone
(810) 275-3724
Address
420 W 5TH AVE
Enumeration Date
28 June 2006
Last Update Date
21 April 2009

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8103099355
Graduation Year
1984 (42 years ago)
PAC ID
2860534732
Group Practice PAC ID
0547426264
Professional Enrollment ID
I20100115000486
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. TODD ROSEN (MD)

  • 420, West 5th Avenue, Flint, Genesee County, Michigan, 48503, United States

    FLINT, MI 485032445

    Phone: (810) 275-3724

    Fax: (810) 257-3731

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-06-06 • Largest payer in this snapshot: Indivior Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$23
View all Open Payments →|Open Payments Risk Radar →

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: 2010-01-15

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
I20100115000486IPsychiatryMITBD

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 48503)

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Provider's Procedures

DR. TODD ROSEN (MD) performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYMI90792Psychiatric diagnostic evaluation with medical services1818

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: 0547426264View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
-MI
Clinical Social WorkerMI
Clinical PsychologistMI
Mental Health CounselorMI
Nurse PractitionerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. TODD ROSEN (MD)?
DR. TODD ROSEN (MD) — NPI 1295763407 — is the standard way to identify this listing.
Can I rely on DR. TODD ROSEN (MD) being an active provider?
As of the registry snapshot, DR. TODD ROSEN (MD) is marked active.
What is DR. TODD ROSEN (MD) best known for clinically?
Directory data describes DR. TODD ROSEN (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is DR. TODD ROSEN (MD) based?
DR. TODD ROSEN (MD) is tied to Flint, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about DR. TODD ROSEN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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