Active NPI
Peter Stephen Ross, MD
- Endocrinology, Diabetes & Metabolism Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 27171
- Practice address
- 3650 Joseph Siewick Dr
#305
Fairfax, VA 22033-1710 - Phone
- (703) 648-1831
- Fax
- (703) 648-2552
- NPI assigned
- Aug 15, 2006
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 27171 | VA | Primary |
Addresses
Primary practice location
3650 Joseph Siewick Dr
#305
Fairfax, VA 22033-1710
Mailing address
1115 58TH St
Sacramento, CA 95819-3937
Phone (703) 819-2640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Harvard Medical School, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-8046
Hospital & facility affiliations
- University of California Davis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27171 | VA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
4860 Y St
Ste 400
Sacramento, CA 95817
Phone (916) 734-1482
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Psychiatric Hospital Unit
- Fairfax, VA
- NPI 1922139807
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1073526430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 58TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193937",
"telephone_number": "703-819-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 JOSEPH SIEWICK DR",
"address_2": "#305",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331710",
"telephone_number": "703-648-1831",
"fax_number": "703-648-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "PETER",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "27171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.