Katelyn Rossow, MD
Katelyn Rossow, MD is a Developmental - Behavioral Pediatrics Physician in Jackson, MS, registered under NPI 1790102788. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 2500 N STATE ST, Jackson, MS 39216. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 55729 | KY | Developmental - Behavioral Pediatrics… primary |
| 55729 | KY | Pediatrics Physician |
| 01079254A | IN | Pediatrics Physician |
| 01079254A | IN | Developmental - Behavioral Pediatrics… |
| 56397 | TN | Developmental - Behavioral Pediatrics… |
Licences are recorded in 3 states: KY, IN, TN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Pediatric Medicine
- PAC ID
- 8022432178
Enrolled in Medicare 3 times, across 3 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Kentucky | I20211228000262 | Practitioner - Pediatric Medicine |
| Idaho | I20250623003647 | Practitioner - Pediatric Medicine |
| Mississippi | I20260203003226 | Practitioner - Pediatric Medicine |
Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. There are 3 separate enrolment records across 3 states (KY, ID, MS). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 3 states
This provider holds licences in 3 states: Indiana, Kentucky and Tennessee. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 56397
- Specialty
- Developmental - Behavioral Pediatrics…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Developmental - Behavioral Pediatrics covers
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. NUCC Health Care Provider Taxonomy, code 2080P0006X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080P0006X | Developmental - Behavioral Pediatrics Physician Developmental - Behavioral Pediatrics | 55729 | KY | primary |
| 208000000X | Pediatrics Physician | 55729 | KY | |
| 208000000X | Pediatrics Physician | 01079254A | IN | |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician Developmental - Behavioral Pediatrics | 01079254A | IN | |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician Developmental - Behavioral Pediatrics | 56397 | TN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1790102788 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 27, 2014 |
| Last updated | Jul 15, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
2500 N STATE ST Jackson, MS 39216 (502) 588-0850 |
| Other identifiers |
7100660090
· Medicaid (KY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 9 | 0 | 1 | 0 | 2 | 7 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 2 | 0 | 4 | 7 | 7 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.