LUIS ROSA (MD) – Surgery Physician, NPI 1063608958

LUIS ROSA (MD) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. MT191873 (PA). The NPI Number for LUIS ROSA (MD) is 1063608958

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
LUIS ROSA (MD)
NPI
1063608958
Phone
(215) 662-3957
Address
3400 SPRUCE ST
Enumeration Date
24 September 2007
Last Update Date
24 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4063386154
Graduation Year
2007 (19 years ago)
PAC ID
4981882354
Group Practice PAC ID
9638081623
Professional Enrollment ID
I20160315002241
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

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Provider Addresses for LUIS ROSA (MD)

  • Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    1 MALONEY

    PHILADELPHIA, PA 191044206

    Phone: (215) 662-3957

    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: 2016-03-15

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
I20160315002241IEmergency MedicineTXTBD

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
99282Emergency department visit with straightforward medical decision making6250$0
99283Emergency department visit with low level of medical decision making3531$0
71045X-ray of chest, 1 view2522$0
70450Ct scan head or brain without contrast1111$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 9638081623View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to LUIS ROSA (MD)?
NPI 1063608958 is assigned to LUIS ROSA (MD) under the national enumeration system.
Is LUIS ROSA (MD) active in the national directory?
LUIS ROSA (MD)'s public NPI profile is in an active state.
Can you summarize LUIS ROSA (MD)'s specialty in plain language?
Clinically, the directory lists LUIS ROSA (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place LUIS ROSA (MD)?
The snapshot lists Philadelphia, Pennsylvania for LUIS ROSA (MD); download NPPES for the complete set.
How can I contact LUIS ROSA (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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