Individual provider Active NPI

Dennis L Ross, M.D.

  • Specialist
  • Wichita, KS
National Provider Identifier
1073510376
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0417656 Issued in KS
Practice address
1035 N Emporia St
Ste #105
Wichita, KS 67214-2944
Phone
(316) 263-7285
Fax
(316) 266-4682
NPI assigned
Jun 30, 2005
Last updated
Jul 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0417656 KS Primary

Addresses

Primary practice location

1035 N Emporia St
Ste #105
Wichita, KS 67214-2944

Mailing address

1035 N Emporia St
Ste #105
Wichita, KS 67214-2944
Phone (316) 263-7285

Other identifiers 1

IdentifierTypeStateIssuer
100120140AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050408000825 KS Practitioner - NephrologyPractitioner - Internal Medicine 8426952060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Nebraska College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1035 N Emporia Ave
Suite 105
Wichita, KS 67214-2943
Phone (316) 263-7285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0417656KSMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Nephrology Physicians PA CurrentSince Aug 1, 1990 Accepting new patients
Cardio-Kidney Vascular Care LLC Specialist Current Accepting new patients
Kansas Nephrology Physicians, P.a. Specialist Current Accepting new patients
FMS Midwest Dialysis Centers, LLC PastSince Nov 1, 2011 Accepting new patients
Renal Care Group of the Midwest, Inc. PastSince May 1, 2011 Accepting new patients

Locations

701 W Central Ave
El Dorado, KS 67042
Phone (316) 321-1368

1035 N Emporia Ave
Ste 105
Wichita, KS 67214
Phone (316) 263-7285

1035 N Emporia Ave
Ste 155
Wichita, KS 67214
Phone (316) 263-7285

3161 N Webb Rd
Ste 220
Wichita, KS 67226
Phone (316) 402-0440

Interoperability endpoints

  • Direct secure messaging: dennis.ross.1@19248.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kansas Medical CenterAndover, KS, CCN 170197 Hospital Limited Partnership Interest (1.76%) Sep 26, 2006
Family Health & Rehabilitation CenterWichita, KS, CCN 175501 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (5.38%) Sep 1, 2020
Derby Health & Rehabilitation LLCDerby, KS, CCN 175514 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (5.38%) Sep 1, 2020
Avita Health and Rehabilitation at Reeds CoveWichita, KS, CCN 175532 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (5.38%) Sep 1, 2020
Nottingham Health and RehabilitationOlathe, KS, CCN 175540 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (5.38%) Sep 1, 2020

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1073510376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "STE #105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-263-7285",
            "fax_number": "316-266-4682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "STE #105",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-263-7285",
            "fax_number": "316-266-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "DENNIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "0417656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120140A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.