Active NPI
Eric J Eross, DO
- Neurology Physician
- Scottsdale, AZ
National Provider Identifier
1063574572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 3626
- Practice address
- 8415 N Pima Rd Ste 175
Scottsdale, AZ 85258-4484 - Phone
- (480) 961-2365
- Fax
- (480) 961-2382
- NPI assigned
- Dec 14, 2006
- Last updated
- May 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 3626 | AZ | Primary |
Addresses
Primary practice location
8415 N Pima Rd Ste 175
Scottsdale, AZ 85258-4484
Mailing address
4505 E Chandler Blvd Ste 200
Phoenix, AZ 85048-7688
Phone (480) 961-2365
Other practice location 1
4530 E Muirwood Dr Ste 111
Phoenix, AZ 85048-7693
Phone (480) 961-2365
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3626 | Other | AZ | LICENSE NUMBER |
| 568462 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Ohio University, College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4530 E Muirwood Dr
Suite 111
Phoenix, AZ 85048-7693
Phone (480) 961-2365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3626 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Neurology P C | Neurology | Past | Accepting new patients |
| Center for Orthopedic Research and Education, LLC | Past | Accepting new patients |
Interoperability endpoints
- eric.eross.1@8409.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Neurology Physician
- Phoenix, AZ
- NPI 1104857143
-
dba The CORE Institute
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1063574572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 E CHANDLER BLVD STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850487688",
"telephone_number": "480-961-2365",
"fax_number": "480-961-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 N PIMA RD STE 175",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584484",
"telephone_number": "480-961-2365",
"fax_number": "480-961-2382"
}
],
"practiceLocations": [
{
"address_1": "4530 E Muirwood Dr Ste 111",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850487693",
"country_code": "US",
"telephone_number": "480-961-2365",
"fax_number": "480-961-2382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EROSS",
"first_name": "ERIC",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AZ",
"license": "3626",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "3626",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "568462",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.