NPIMap

Individual provider Active NPI

Mitchell K Ross, MD

  • Neurology Physician
  • Auburn, ME
National Provider Identifier
1073503660
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
12092 Issued in ME
Practice address
10 Minot Ave
Auburn, ME 04210-4900
Phone
(207) 795-2927
Fax
(207) 795-2000
NPI assigned
Oct 25, 2005
Last updated
Mar 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 12092 ME Primary
Electrodiagnostic Medicine Physician 204R00000X MD12092 ME

Addresses

Primary practice location

10 Minot Ave
Auburn, ME 04210-4900

Mailing address

10 Minot Ave
Auburn, ME 04210-4900
Phone (207) 795-2927

Other identifiers 1

IdentifierTypeStateIssuer
432007500MedicaidME

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000824 ME Practitioner - Neurology 2062448707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Geisel School of Medicine at Dartmouth, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians

Practice addresses (Care Compare)

233 York St a
Neurology Associates of York Hospital
York, ME 03909-1047
Phone (207) 351-3987

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12092MEMDElectrodiagnostic Medicine Physician
12092MEMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Mar 1, 2006 Accepting new patients
Seacoast Pathology Inc Current Accepting new patients
Rumford Hospital CurrentSince Oct 1, 2011 Accepting new patients
York Hospital Neurology CurrentSince Jun 30, 2024 Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2006 Accepting new patients
Rumford Hospital CurrentSince Oct 1, 2011 Accepting new patients
Neurology Associates of York Hospital Neurology Past Accepting new patients
Seasons of Life LLC Past Accepting new patients

Locations

10 Minot Ave
Auburn, ME 04210
Phone (207) 784-7388

489 State St
Bangor, ME 04401
Phone (207) 973-8837

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

329 Maine St
Mere Point, ME 04011
Phone (207) 373-2250

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

233 York St
York, ME 03909
Phone (207) 351-3987

233 York St
#A
York, ME 03909
Phone (207) 351-3987

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 8

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 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1073503660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MINOT AVE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104900",
            "telephone_number": "207-795-2927",
            "fax_number": "207-795-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MINOT AVE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104900",
            "telephone_number": "207-795-2927",
            "fax_number": "207-795-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MITCHELL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ME",
            "license": "12092",
            "primary": true
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "ME",
            "license": "MD12092",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432007500",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

Verify at the official NPI Registry.