DR. SYDNEY E ROSE (M.D.) – Anesthesiology Physician, NPI 1174811962

DR. SYDNEY E ROSE (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 172652 (OR). The NPI Number for DR. SYDNEY E ROSE (M.D.) is 1174811962

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. SYDNEY E ROSE (M.D.)
NPI
1174811962
Phone
(503) 494-8311
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
14 July 2011
Last Update Date
18 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032761000
Graduation Year
2019 (7 years ago)
PAC ID
7517274681
Group Practice PAC ID
9335191667
Professional Enrollment ID
I20220901003136
Address ID
CT069023602ST4XXXXPLZX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

869 ANESTHESIOLOGY in OR

Provider Addresses for DR. SYDNEY E ROSE (M.D.)

  • 3181 SW SAM JACKSON PARK RD

    HRC 5TH FL

    PORTLAND, OR 972393011

    Phone: (503) 494-8311

    Type: Mailing

  • 3181 SW Sam Jackson Park Rd

    HRC 5th Fl

    Portland, OR 972393011

    Phone: (503) 494-8311

    Type: Location

  • 99 EAST RIVER DRIVE

    5TH FLOOR

    EAST HARTFORD, CT 06108

    Phone:

    Type: Mailing

  • 2800 MAIN ST

    BRIDGEPORT, CT 066064292

    Phone: (203) 545-6000

    Type: Location

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-01-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$19
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: 2022-09-01

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
I20220901003136IAnesthesiologyCTTBD

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 97239)

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Provider's Procedures

DR. SYDNEY E ROSE (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYOR76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2525

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: 9335191667View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)CT
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YCT

Reviews

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Frequently asked questions

Can I cross-check DR. SYDNEY E ROSE (M.D.) using NPI 1174811962?
NPI 1174811962 belongs to DR. SYDNEY E ROSE (M.D.); compare other details if you need extra assurance.
Would DR. SYDNEY E ROSE (M.D.) appear as active to a payer?
You can treat DR. SYDNEY E ROSE (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. SYDNEY E ROSE (M.D.)?
At a glance, DR. SYDNEY E ROSE (M.D.) is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is DR. SYDNEY E ROSE (M.D.) registered?
Use Portland, Oregon as the headline location for DR. SYDNEY E ROSE (M.D.) here.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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