Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447272323 Individual Practitioner Male Practitioner

Dr. Richard Sun Kyu Kwan Rose , MD

Internal Medicine • Slc, UT

Professional Overview & Biography Verified Profile Summary

Dr. Richard Rose, MD is a registered healthcare professional specializing in Internal Medicine in Slc, UT. Practice services are available at 500 FOOTHILL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Foothill Dr

Slc, UT 841480001

Telephone 8015821565
Fax 8015842576
Associated Practice Facility / Clinic
🏢 Salt Lake City Vamc Facility NPI 1558329722

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Slc, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
7 Specialists

Practicing in Slc, UT (700 Statewide)

Telehealth Adoption Rate
28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License UT 5756670-1205

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License WA MD60136118

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1447272323 (WA)
Medicaid State Provider ID
8567380 (WA)
Commercial Insurance / Payer ID Aetna
9370535 (WA)
Commercial Insurance / Payer ID Regence
0211RO (WA)
Commercial Insurance / Payer ID L&i And Crime Victims
0260516 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kristine Nelson , LCSW

Social Worker - Clinical

NPI 1003071648

Licensed Clinical Social Worker

Dr. Willard Dere , MD

Internal Medicine

NPI 1003286758

Doctor of Medicine (M.D.)

Hunter Bullock , MLS(ASCP)

Technician, Pathology - Medical Laboratory

NPI 1003336355
Nicolas Hortensi

Student in an Organized Health Care Education/Training Program

NPI 1003430745
David Archibald , PA

Physician Assistant - Medical

NPI 1003985904

Physician Assistant

Mallory Speakman

Registered Nurse

NPI 1013652940

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2012

Registered at 500 FOOTHILL DR, SLC, UT 841480001 (Tel: 8015821565)

📍
Updated Business Mailing Address January 11, 2012

Registered at 500 FOOTHILL DR, SLC, UT 841480001 (Tel: 8015821565)

👤
Provider Name / Credentials Updated January 11, 2012

Recorded as RICHARD ROSE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2012

Internal Medicine (License #5756670-1205 in UT)

🟢
Initial NPI Registration & Enumeration July 23, 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: 1447272323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2006
Last Update: January 11, 2012
Sole Proprietor: No

Mailing Address

500 Foothill Dr

Slc, UT 841480001

Phone: 8015821565

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.