NICHOLAS ROSE (MD) – Vascular & Interventional Radiology Physician, NPI 1013476829

NICHOLAS ROSE (MD) is a healthcare provider. based in Reno, Nevada. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. BP10072480 (TX). The NPI Number for NICHOLAS ROSE (MD) is 1013476829

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS ROSE (MD)
NPI
1013476829
Phone
(775) 327-5174
Address
1155 MILL ST
Enumeration Date
19 March 2019
Last Update Date
2 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
7027594600
Graduation Year
2019 (7 years ago)
PAC ID
2567793151
Group Practice PAC ID
4486568946
Professional Enrollment ID
I20250815003958
Address ID
NV891035406LA4880XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:7State licenses:3Digital endpointsOther names

353 DIAGNOSTIC RADIOLOGY in NV

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Provider Addresses for NICHOLAS ROSE (MD)

  • Renown Regional Medical Center, 1155, Mill Street, Reno, Washoe County, Nevada, 89502, United States

    RENO, NV 895021576

    Phone: (775) 327-5174

    Fax: (775) 982-3900

    Type: Mailing

  • 2020 PALOMINO LN STE 100

    LAS VEGAS, NV 891064894

    Phone: (702) 759-8600

    Type: Mailing

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: 2025-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20250815003958IDiagnostic RadiologyNVTBD
I20250818000590IDiagnostic RadiologyCATBD

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 89502)

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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: 4486568946View full group profile
NameSpecialtyState
Diagnostic RadiologyUT
Diagnostic RadiologyNV
-NV
Diagnostic Radiology, Interventional RadiologyID
-MN
Diagnostic RadiologyNV
Diagnostic RadiologyNV
Diagnostic RadiologyNV
Diagnostic RadiologyNV
-OR

Reviews

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Frequently asked questions

Where can patients find NICHOLAS ROSE (MD)'s NPI?
You can confirm NICHOLAS ROSE (MD) with NPI 1013476829; it appears in the national provider directory.
Is NICHOLAS ROSE (MD) currently active in the NPI registry?
CMS-published data lists NICHOLAS ROSE (MD) as an active registrant.
Can you summarize NICHOLAS ROSE (MD)'s specialty in plain language?
Clinically, the directory lists NICHOLAS ROSE (MD) with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for NICHOLAS ROSE (MD)?
The page summarizes Reno, Nevada for NICHOLAS ROSE (MD); expand the address list for detail.
What if Reno, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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