Individual provider Active NPI

Eric M Gross, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • El Paso, TX
National Provider Identifier
1053386763
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
N2537 Issued in TX
Practice address
2400 Trawood Dr Ste 304
El Paso, TX 79936-4122
Phone
(915) 591-8400
Fax
(915) 591-8401
NPI assigned
Feb 17, 2006
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 6053 SD
Facial Plastic Surgery Physician 207YS0123X A60281 CA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X N2537 TX Primary

Addresses

Primary practice location

2400 Trawood Dr Ste 304
El Paso, TX 79936-4122

Mailing address

2400 Trawood Dr Ste 304
El Paso, TX 79936-4122
Phone (915) 591-8400

Other identifiers 4

IdentifierTypeStateIssuer
P00439542OtherSDRR MEDICARE
6053OtherSDDAKOTACARE
6520500MedicaidSD
4993122OtherSDWELLMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091009000217 TX Practitioner - Otolaryngology 8325032378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Kansas School of Med (KC/Wich/Sal), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2400 Trawood Dr
Suite 304
El Paso, TX 79936-4122
Phone (915) 591-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6053SDMDClinical Social Worker
N2537TXMDOtolaryngology/Facial Plastic Surgery Physician
6053SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eric M Gross MD PA Facial Plastic Surgery CurrentSince Jul 21, 2004 Accepting new patients

Locations

11163 La Quinta Pl
Ste B200
El Paso, TX 79936
Phone (915) 603-8423

2400 Trawood Dr
Ste 304
El Paso, TX 79936
Phone (915) 591-8400

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1053386763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 TRAWOOD DR STE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364122",
            "telephone_number": "915-591-8400",
            "fax_number": "915-591-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 TRAWOOD DR STE 304",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364122",
            "telephone_number": "915-591-8400",
            "fax_number": "915-591-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "SD",
            "license": "6053",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A60281",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "N2537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00439542",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "6053",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6520500",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "4993122",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.