Active NPI
Dennis L Ross, M.D.
- Specialist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0417656
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100120140A | Medicaid | KS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0417656 | KS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Nephrology Physicians PA | Current | 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 | Past | Accepting new patients | |
| Renal Care Group of the Midwest, Inc. | Past | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Kansas Medical Center | Hospital | Limited Partnership Interest (1.76%) | Sep 26, 2006 |
| Family Health & Rehabilitation Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (5.38%) | Sep 1, 2020 |
| Derby Health & Rehabilitation LLC | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (5.38%) | Sep 1, 2020 |
| Avita Health and Rehabilitation at Reeds Cove | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (5.38%) | Sep 1, 2020 |
| Nottingham Health and Rehabilitation | 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.
-
- Skilled Nursing Facility
- Derby, KS
- NPI 1316177959
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Wichita, KS
- NPI 1205010303
5% Or Greater Indirect Ownership Interest
-
dba Nottingham Health and Rehabilitation
- Skilled Nursing Facility
- Olathe, KS
- NPI 1336585611
5% Or Greater Indirect Ownership Interest
-
- General Acute Care Hospital
- Andover, KS
- NPI 1255380127
Limited Partnership Interest
-
- Skilled Nursing Facility
- Wichita, KS
- NPI 1508123738
5% Or Greater Indirect Ownership Interest
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.
-
dba Osteoporosis Detection Center
- Specialist
- Wichita, KS
- NPI 1720053754
-
- Ambulatory Surgical Clinic/Center
- Wichita, KS
- NPI 1588237523
Specialist
-
- Nephrology Physician
- Wichita, KS
- NPI 1093780454
-
dba Renal Care Group Liberal
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Liberal, KS
- NPI 1346526431
-
dba Fresenius Kidney Care Omaha West
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Omaha, NE
- NPI 1932644127
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.