CARLY ROSENBERG (MD) – Internal Medicine Physician, NPI 1073175402

CARLY ROSENBERG (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 159414 (IL). The NPI Number for CARLY ROSENBERG (MD) is 1073175402

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CARLY ROSENBERG (MD)
NPI
1073175402
Phone
(715) 838-5222
Address
701 PARK AVE
Enumeration Date
5 July 2019
Last Update Date
4 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084862700
Graduation Year
2019 (7 years ago)
PAC ID
4284969171
Group Practice PAC ID
3577578798
Professional Enrollment ID
I20221010001890
Address ID
IL603024210OA101XXSTXX339

Contacts

Main Contact
?
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

3,636 INTERNAL MEDICINE in MN

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Provider Addresses for CARLY ROSENBERG (MD)

  • Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554151623

    Phone: (715) 838-5222

    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)

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: 2022-10-10

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
I20221010001890IInternal MedicineILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12462$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10855$0
99238Hospital discharge day management, 30 minutes or less8177$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4746$0
99239Hospital discharge day management, more than 30 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 55415)

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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: 3577578798View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Internal MedicineIL
Hospitalist, Internal MedicineIL
Internal MedicinePA
Nurse PractitionerIL
Family PracticeIL
Nurse PractitionerIL
-IL
-IL

Reviews

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Frequently asked questions

What identifier follows CARLY ROSENBERG (MD) across health systems?
The NPI 1073175402 uniquely identifies CARLY ROSENBERG (MD) in U.S. healthcare data.
Does the public listing show CARLY ROSENBERG (MD) as active?
CARLY ROSENBERG (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits CARLY ROSENBERG (MD)?
NPPES ties CARLY ROSENBERG (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CARLY ROSENBERG (MD)?
CARLY ROSENBERG (MD) is associated with Minneapolis, Minnesota in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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