Active NPI
Steven Ross, M.D.
- Emergency Medicine Physician
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-054990
- Practice address
- 3 Erie CT
Oak Park, IL 60302-2519 - Phone
- (708) 383-6200
- NPI assigned
- Jul 17, 2006
- Last updated
- Feb 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-054990 | IL | Primary |
| Emergency Medicine Physician | 207P00000X | 125261 | NY |
Addresses
Primary practice location
3 Erie CT
Oak Park, IL 60302-2519
Mailing address
75 Remit Drive
Lockbox 6322
Chicago, IL 60675-6322
Phone (866) 916-5259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036054990 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-054990 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Urgent Care, PLLC | Current | Accepting new patients | |
| Michael S Lippe MD, PC | Past | Accepting new patients | |
| Fishkill Pharmacy LLC | Past | Accepting new patients | |
| Dobbs Ferry Emergency Medicine, PC | Emergency Medicine | Past | Accepting new patients |
| West Side Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
Locations
1158 Broadway
Hewlett, NY 11557
Phone (516) 218-2929
555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070
2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
-
- Emergency Medicine Physician
- Oak Park, IL
- NPI 1366467037
-
- Emergency Medicine Physician
- Dobbs Ferry, NY
- NPI 1457381477
-
dba The Medicine Shoppe Pharmacy
- Community/Retail Pharmacy
- Fishkill, NY
- NPI 1427308188
-
dba Rockland Emergency
- Personal Emergency Response Attendant
- Suffern, NY
- NPI 1205871704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1164449799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMIT DRIVE",
"address_2": "LOCKBOX 6322",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606756322",
"telephone_number": "866-916-5259",
"fax_number": "231-922-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 ERIE CT",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603022519",
"telephone_number": "708-383-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-054990",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "125261",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036054990",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.