Individual provider Active NPI

Dionne Cozier Ross, MD

  • Pediatrics Physician
  • Bloomington, IN
National Provider Identifier
1104186006
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01094962A Issued in IN
Practice address
4935 W Arlington Rd
Bloomington, IN 47404-1187
Phone
(812) 353-3800
Fax
(812) 353-3770
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01094962A IN Primary
Pediatrics Physician 208000000X MD2019-0241 NM
Pediatrics Physician 208000000X 94-07898 KS
Pediatrics Physician 208000000X R4203 TX

Addresses

Primary practice location

4935 W Arlington Rd
Bloomington, IN 47404-1187

Mailing address

3066 E Commerce St
San Antonio, TX 78220-1013
Phone (210) 233-7062

Other practice location 1

3066 E Commerce St
San Antonio, TX 78220-1013
Phone (210) 233-7000

Other practice location 2

6501 E 87th St
Kansas City, MO 64138-2732
Phone (816) 444-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DCOZIERROSS@DIRECT.IUHEALTH.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250131002480 IN Practitioner - Pediatric Medicine 1052678836 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01094962AINMDPediatrics Physician
94-07898KSMDPediatrics Physician
R4203TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

4935 W Arlington Rd
Bloomington, IN 47404
Phone (812) 353-3743

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

Interoperability endpoints

  • Direct secure messaging: dcozierross@direct.iuhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1104186006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 E COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782201013",
            "telephone_number": "210-233-7062",
            "fax_number": "210-228-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 W ARLINGTON RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474041187",
            "telephone_number": "812-353-3800",
            "fax_number": "812-353-3770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3066 E Commerce St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782201013",
            "country_code": "US",
            "telephone_number": "210-233-7000",
            "fax_number": "210-228-0065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6501 E 87th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641382732",
            "country_code": "US",
            "telephone_number": "816-444-8400",
            "fax_number": "816-444-8407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COZIER ROSS",
        "first_name": "DIONNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01094962A",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2019-0241",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "94-07898",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R4203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DCOZIERROSS@DIRECT.IUHEALTH.ORG",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4935 W Arlington Rd",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474041187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.