Individual provider Active NPI

Robin Demi Ross, M.D., M.P.H

  • Retina Specialist (Ophthalmology) Physician
  • Scottsdale, AZ
National Provider Identifier
1114951506
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
52811 Issued in AZ
Practice address
4835 E Cactus Rd Ste 105
Scottsdale, AZ 85254-4192
Phone
(480) 534-8080
Fax
(480) 534-8081
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 52811 AZ
Retina Specialist (Ophthalmology) Physician 207WX0107X 52811 AZ Primary
Ophthalmology Physician 207W00000X 4301055805 MI

Addresses

Primary practice location

4835 E Cactus Rd Ste 105
Scottsdale, AZ 85254-4192

Mailing address

4835 E Cactus Rd Ste 105
Scottsdale, AZ 85254-4192
Phone (480) 534-8080

Other identifiers 1

IdentifierTypeStateIssuer
442209MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170614001316 AZ Practitioner - OphthalmologyPractitioner - Other (Physician) 3678663259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4835 E Cactus Rd
Suite 105
Scottsdale, AZ 85254-4192
Phone (480) 534-8080

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301055805MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Retina Institute LLC Retina Specialist CurrentSince Apr 1, 2018 Accepting new patients
Premier Surgical Suites LLC PastSince Dec 21, 2025 Accepting new patients
Grayhawk Eye Center Past Accepting new patients

Locations

4835 E Cactus Rd
Ste 105
Scottsdale, AZ 85254
Phone (480) 490-2353

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1114951506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 E CACTUS RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544192",
            "telephone_number": "480-534-8080",
            "fax_number": "480-534-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 E CACTUS RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544192",
            "telephone_number": "480-534-8080",
            "fax_number": "480-534-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ROBIN",
        "middle_name": "DEMI",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "52811",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "52811",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301055805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442209",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.