DIANE N ROSENTHAL (PA) – Physician Assistant, NPI 1588703425

DIANE N ROSENTHAL (PA) is a healthcare provider. based in South jordan, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9118724 (FL). The NPI Number for DIANE N ROSENTHAL (PA) is 1588703425

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DIANE N ROSENTHAL (PA)
NPI
1588703425
Phone
(801) 352-9500
Address
PO BOX 95590
Enumeration Date
6 February 2007
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
9335299742
Group Practice PAC ID
9638215734
Professional Enrollment ID
I20250430002827
Address ID
FL325032254PE125XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for DIANE N ROSENTHAL (PA)

  • PO BOX 95590

    SOUTH JORDAN, UT 840950590

    Phone: (801) 352-9500

    Type: Mailing

  • 125 BAPTIST WAY STE 4A

    PENSACOLA, FL 325032274

    Phone: (448) 227-6480

    Type: Location

  • 1945 STATE ROUTE 33

    ACKERMAN 4 TRAUMA

    NEPTUNE, NJ 077534859

    Phone: (732) 776-4949

    Fax: (732) 776-4843

    Type: Mailing

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: 2025-04-30

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
I20250430002827IPhysician AssistantFLTBD

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 84095)

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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: 9638215734View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DIANE N ROSENTHAL (PA) in the U.S.?
In the U.S., DIANE N ROSENTHAL (PA) is identified by NPI 1588703425.
Is DIANE N ROSENTHAL (PA) currently accepting referrals based on NPI status?
Registry metadata lists DIANE N ROSENTHAL (PA) as active.
What does the directory say DIANE N ROSENTHAL (PA) does?
Insurance directories may phrase it differently, but here DIANE N ROSENTHAL (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to DIANE N ROSENTHAL (PA)?
DIANE N ROSENTHAL (PA) shows a connection to South Jordan, Utah in registry-derived data.
Who maintains DIANE N ROSENTHAL (PA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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