Active NPI
Sharon C Gross IV, M.D.
- Ophthalmology Physician
- Baltimore, MD
National Provider Identifier
1144269713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D37085
- Practice address
- 3449 Wilkens Ave
Suite 308
Baltimore, MD 21229-5281 - Phone
- (410) 644-7544
- Fax
- (410) 644-2451
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D37085 | MD | Primary |
Addresses
Primary practice location
3449 Wilkens Ave
Suite 308
Baltimore, MD 21229-5281
Mailing address
3449 Wilkens Ave
Suite 308
Baltimore, MD 21229-5281
Phone (410) 644-7544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 530751100 | Medicaid | MD | |
| 40165002 | Other | MD | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144269713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3449 WILKENS AVE",
"address_2": "SUITE 308",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295281",
"telephone_number": "410-644-7544",
"fax_number": "410-644-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3449 WILKENS AVE",
"address_2": "SUITE 308",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212295281",
"telephone_number": "410-644-7544",
"fax_number": "410-644-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "SHARON",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D37085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "530751100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "40165002",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.