Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Samantha Rose, MD

Individual provider Pediatrics Physician · NPI 1770074684

Holly Samantha Rose, MD is a Pediatrics Physician in Indianapolis, Indiana. Works from 3 locations. Licensed in Indiana and South Carolina.

Licensed in
IN, SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 944-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (888) 484-3258
  • 169 Ashley Ave, Charleston, SC 29425 — (843) 792-8972

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01087524A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence MMD.52452.LL (SC)

Record details

NPI number1770074684
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2018
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

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