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Deactivated NPI 1194898304 Deactivated / Inactive NPI Male Practitioner

Dr. Arnold S Rosenbaum , MD

Specialist • Lincoln, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Arnold Rosenbaum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 16, 2006
NPI Deactivation Date January 25, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Arnold Rosenbaum, MD was a registered Specialist practicing in Lincoln, RI. Throughout an active medical career spanning 17 years, Dr. Rosenbaum provided care at the practice location at 3 WAKE ROBIN RD until profile deactivation on 2023-01-25.

Historical Medicare Part B clinical services included established patient outpatient office visit, testing for presence of drug, by chemistry analyzers, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3 Wake Robin Rd
Unit 5

Lincoln, RI 028654208

Telephone 4014759140
Fax 4014759143
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Lincoln, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Lincoln, RI (216 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
40.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
914 125 $130.00 $74.51
80307 Testing for presence of drug, by chemistry analyzers
739 119 $100.00 $61.58

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License RI MD04446

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1053413484

Doctor of Medicine (M.D.)

Stephanie Maclary , PA-C

Physician Assistant - Medical

NPI 1073530861

Physician Assistant (Certified)

Evelyn Stein

Physician Assistant

NPI 1134759418
Shane Morgan , PA-C

Physician Assistant - Medical

NPI 1437142213

Physician Assistant (Certified)

Stephanie Marlin , PA-C

Physician Assistant

NPI 1649705500

Physician Assistant (Certified)

Taylor Dryden

Physician Assistant

NPI 1710555180

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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NPI Profile Deactivated January 25, 2023

Record deactivated on January 25, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2021

Internal Medicine (License #MD04446 in RI)

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2021

Preventive Medicine (License #MD04446 in RI)

NPI Profile Active April 07, 2017

NPI status registered as active in NPPES database

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Updated Practice Location April 07, 2017

Registered at 209 ARMISTICE BLVD, PAWTUCKET, RI 028603242 (Tel: 4017254100)

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Updated Business Mailing Address April 07, 2017

Registered at 125 HEIDI DR, PORTSMOUTH, RI 028713509 (Tel: 4016839968)

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Provider Name / Credentials Updated April 07, 2017

Recorded as ARNOLD ROSENBAUM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2017

Surgery (License #MD04446 in RI)

NPI Profile Active December 17, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 17, 2007

Registered at 3 WAKE ROBIN RD, UNIT 5, LINCOLN, RI 028654208 (Tel: 4014759140)

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Updated Business Mailing Address December 17, 2007

Registered at 125 HEIDI DR, PORTSMOUTH, RI 028713509 (Tel: 4016839968)

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Provider Name / Credentials Updated December 17, 2007

Recorded as ARNOLD ROSENBAUM, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2007

Specialist (License #MD04446 in RI)

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Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194898304
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: December 17, 2007
Deactivation Date: January 25, 2023

Mailing Address

125 Heidi Dr

Portsmouth, RI 028713509

Phone: 4016839968

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.