DR. JOHN H ROSE (DO) – Family Medicine Physician, NPI 1356387641

DR. JOHN H ROSE (DO) is a healthcare provider. based in Haskell, Texas. specializing in FAMILY PRACTICE, OBSTETRICS/GYNECOLOGY. They hold the professional credentials DO. They hold a License No. H9564 (TX). The NPI Number for DR. JOHN H ROSE (DO) is 1356387641

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN H ROSE (DO)
NPI
1356387641
Phone
(940) 889-5583
Address
1 AVENUE N
Enumeration Date
22 June 2006
Last Update Date
9 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9408492151
Graduation Year
1990 (36 years ago)
PAC ID
9830163245
Group Practice PAC ID
4082686282
Professional Enrollment ID
I20040823000398
Address ID
TX764835357TH802XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. JOHN H ROSE (DO)

  • Haskell Memorial Hospital, 1, Avenue N, Haskell, Haskell County, Texas, 79521, United States

    HASKELL, TX 795215415

    Phone: (940) 889-5583

    Fax: (940) 889-8835

    Type: Mailing

  • Seymour Rural Health Clinic, 201, Stadium Drive, Seymour, Baylor County, Texas, 76380, United States

    SEYMOUR, TX 76380

    Phone: (940) 889-5583

    Fax: (940) 889-8835

    Type: Location

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: 2004-08-23

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
I20040823000398IFamily PracticeTXTBD

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 79521)

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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: 4082686282View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family Practice, Emergency MedicineTX

Reviews

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Frequently asked questions

What NPI should I save for DR. JOHN H ROSE (DO)?
Save NPI 1356387641 if you need a stable reference for DR. JOHN H ROSE (DO).
Is DR. JOHN H ROSE (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. JOHN H ROSE (DO) work in?
You can think of DR. JOHN H ROSE (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. JOHN H ROSE (DO)?
We surface Haskell, Texas for DR. JOHN H ROSE (DO) based on available NPPES addresses.
Is DR. JOHN H ROSE (DO) a real provider?
This page reflects official NPPES data for NPI 1356387641. Always confirm identity and privileges with the practice and licensing boards.

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