DR. MICAH G ROSENFIELD (MD) – Family Medicine Physician, NPI 1194757336

DR. MICAH G ROSENFIELD (MD) is a healthcare provider. based in West valley city, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4777562-1205 (UT). The NPI Number for DR. MICAH G ROSENFIELD (MD) is 1194757336

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICAH G ROSENFIELD (MD)
NPI
1194757336
Phone
(801) 965-3505
Address
2965 W 3500 S
Enumeration Date
7 July 2006
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
7719905256
Group Practice PAC ID
4587074356
Professional Enrollment ID
I20051103000571
Address ID
UT841193602WE2965X3500300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

1,136 FAMILY PRACTICE in UT

Provider Addresses for DR. MICAH G ROSENFIELD (MD)

  • 2965 W 3500 S

    WEST VALLEY CITY, UT 841193602

    Phone: (801) 965-3505

    Type: Location

  • 2401 E ST NW SA-1 COLUMBIA PLAZA

    SUITE L201

    WASHINGTON, DC 205205712

    Phone: (202) 663-1692

    Type: Mailing

  • Randall's Market, 3235 W, Cody Brotherson Parkway, West Valley City, Salt Lake County, Utah, 84119, United States

    WEST VALLEY CITY, UT 84120

    Phone: (801) 965-3600

    Fax: (801) 965-3526

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $999.

Total Amount is formed as General ($999) + Research ($0) + Ownership ($0) = $999.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Medtronic, Inc. ($221).

Total Amount

$999

General + Research + Ownership

Payments

47

Total payment records

General Amount

$999

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-11-03

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
I20051103000571IFamily PracticeUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes16396$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7070$0
G0444Annual depression screening, 5 to 15 minutes4949$0
G0008Administration of influenza virus vaccine4343$0
90662Influenza vaccine split virus, preservative free3636$0
View full utilization report →

Insurance plans in this area (ZIP 84119)

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Provider's Procedures

DR. MICAH G ROSENFIELD (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEUT83036Hemoglobin A1C level4932

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: 4587074356View full group profile
NameSpecialtyState
N E U R O L O G YUT
Internal MedicineAZ
O B S T E T R I C S/ G Y N E C O L O G YUT
Pediatric MedicineUT

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MICAH G ROSENFIELD (MD)?
DR. MICAH G ROSENFIELD (MD) — NPI 1194757336 — is the standard way to identify this listing.
Can I rely on DR. MICAH G ROSENFIELD (MD) being an active provider?
As of the registry snapshot, DR. MICAH G ROSENFIELD (MD) is marked active.
What healthcare role does DR. MICAH G ROSENFIELD (MD) hold?
Scheduling teams often label DR. MICAH G ROSENFIELD (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. MICAH G ROSENFIELD (MD) list a practice location?
Patients near West Valley City, Utah may find DR. MICAH G ROSENFIELD (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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