DAVID JOEL ROZANSKY (MD) – Pediatric Nephrology Physician, NPI 1881600336

DAVID JOEL ROZANSKY (MD) is a healthcare provider. based in Portland, Oregon. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. MD22981 (OR). The NPI Number for DAVID JOEL ROZANSKY (MD) is 1881600336

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DAVID JOEL ROZANSKY (MD)
NPI
1881600336
Phone
Not provided
Address
3181 SW SAM JACKSON PARK RD
Enumeration Date
1 August 2006
Last Update Date
27 August 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
5412227300
Graduation Year
1990 (36 years ago)
PAC ID
4587752589
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20071108000280
Address ID
OR974778803SP3377XDRXX373
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

298 PEDIATRIC MEDICINE in OR

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Provider Addresses for DAVID JOEL ROZANSKY (MD)

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972393011

    Phone:

    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: 2007-11-08

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
I20071108000280IPediatric MedicineORTBD

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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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: 4880760107View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DAVID JOEL ROZANSKY (MD) in the U.S.?
In the U.S., DAVID JOEL ROZANSKY (MD) is identified by NPI 1881600336.
Should I treat DAVID JOEL ROZANSKY (MD) as an active provider?
Patients and plans typically see DAVID JOEL ROZANSKY (MD) as active in the national extract.
Which specialty label fits DAVID JOEL ROZANSKY (MD)?
NPPES ties DAVID JOEL ROZANSKY (MD) to Pediatric Nephrology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DAVID JOEL ROZANSKY (MD) tied to Portland, Oregon?
If you are local to Portland, Oregon, DAVID JOEL ROZANSKY (MD) may be relevant to your search.
Why is information missing for DAVID JOEL ROZANSKY (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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