Individual provider Active NPI

Thomas W Ross, DO

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1114997731
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03119 Issued in IA
Practice address
1000 E. Army Post Rd
Des Moines, IA 50315-5939
Phone
(515) 953-7560
Fax
(515) 953-7549
NPI assigned
Jan 25, 2006
Last updated
Oct 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03119 IA Primary

Addresses

Primary practice location

1000 E. Army Post Rd
Des Moines, IA 50315-5939

Mailing address

P.O. Box 4557
Des Moines, IA 50305-4557
Phone (515) 280-7004

Other identifiers 1

IdentifierTypeStateIssuer
220459MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03119IAMDFamily Medicine Physician
3119IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Heartland, Inc Family Medicine Past Accepting new patients
Planned Parenthood of the Heartland Family Medicine Past Accepting new patients

Organizations & group practices 2

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1114997731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4557",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503054557",
            "telephone_number": "515-280-7004",
            "fax_number": "515-280-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E. ARMY POST RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155939",
            "telephone_number": "515-953-7560",
            "fax_number": "515-953-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "THOMAS",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "03119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220459",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.