Individual provider Active NPI

Elisa K Ross, M.D.

  • Obstetrics & Gynecology Physician
  • Pottstown, PA
National Provider Identifier
1164422804
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD066961L Issued in PA
Practice address
1597 Medical Dr
Pottstown, PA 19464-3224
Phone
(610) 326-6732
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD066961L PA Primary

Addresses

Primary practice location

1597 Medical Dr
Pottstown, PA 19464-3224

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (856) 669-6050

Other practice location 1

351 W Schuylkill Rd Ste G-15A
Pottstown, PA 19465-7438
Phone (610) 326-9460

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elisa.ross@axia.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20041130000029 PA Practitioner - Obstetrics/Gynecology 4284699638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Perelman School of Med at the University of Pennsylvania, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

1590 Medical Dr
Suite a
Pottstown, PA 19464-3247
Phone (610) 326-7172

Hospital & facility affiliations

  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD066961LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology Current Accepting new patients
Community Health and Dental Care, Inc CurrentSince Jun 1, 2018 Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Jun 26, 2018 Accepting new patients
Community Health and Dental Care, Inc CurrentSince Jun 1, 2018 Accepting new patients
Women'S Healthcare Group of PA Health Care for Women Only Division Obstetrics & Gynecology Past Accepting new patients
Phoenixville Hospital, LLC Past Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology PastSince Jul 25, 2021 Accepting new patients

Locations

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400

351 W Schuylkill Rd
Ste G15A
Pottstown, PA 19465
Phone (484) 948-3097

1590 Medical Dr
Ste A
Pottstown, PA 19464
Phone (610) 323-2230

1597 Medical Dr
Pottstown, PA 19464
Phone (610) 326-6732

700 Heritage Dr
Ste 701
Pottstown, PA 19464
Phone 6103269460193

85 Old Eagle School Rd
Wayne, PA 19087
Phone (610) 688-3744

Interoperability endpoints

  • Direct secure messaging: elisa.ross@axia.eclinicaldirectplus.com
  • Direct secure messaging: elisa.ross.p1@direct.chdc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1164422804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "856-669-6050",
            "fax_number": "856-651-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 MEDICAL DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643224",
            "telephone_number": "610-326-6732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 W Schuylkill Rd Ste G-15A",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194657438",
            "country_code": "US",
            "telephone_number": "610-326-9460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ELISA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD066961L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elisa.ross@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1590 Medical Dr",
            "address_2": "Suite A",
            "city": "Pottstown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194643247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.