Kim M Ross, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

K6276 Issued in TX

Practice address

2611 N Main Ave
San Antonio, TX 78212-2920

Phone

(210) 225-2769

Fax

(210) 225-7576

NPI assigned

Dec 21, 2005

Last updated

Dec 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Dermatology

Education

Toledo Medical College, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ross DermatologyGroup PAC ID 1658852298, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.61 of 100Reported as individual

Quality

89.22

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Casey Lynn Angell, PA-C

  • Surgical Physician Assistant
  • Midland, TX
  • NPI 1366454274
  Medicare reassignment
• Ronald Stephen Davis, M.D.

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1497770572
  Medicare reassignment
• Jenna Marie Ruman, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
  • NPI 1962838086
  Medicare reassignment
• Kenneth Earl Wright, PAC

  • Physician Assistant
  • San Antonio, TX
  • NPI 1043328834
  Medicare reassignment

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.

• Ross Dermatology

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1134553019
  Medicare reassignment Care Compare group NPD Authorized official
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1184600165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 N MAIN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122920",
            "telephone_number": "210-225-2769",
            "fax_number": "210-225-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 N MAIN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122920",
            "telephone_number": "210-225-2769",
            "fax_number": "210-225-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Silverado",
            "address_purpose": "LOCATION",
            "city": "La Vernia",
            "state": "TX",
            "postal_code": "781214948",
            "country_code": "US",
            "telephone_number": "210-225-2769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "519 N King St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Seguin",
            "state": "TX",
            "postal_code": "781554859",
            "country_code": "US",
            "telephone_number": "210-225-2768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KIM",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K6276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113449601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113449602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Murphy Ross, PH.D.
• Gena Ross, D.C.
• Hadley Kay Ross, MD
• Jeanette Silva Ross, M.D.
• Kelly Renee Ross
• Kristi Laine Ross
• Marianne M Ross, LCSW
• Marnie Lashae Ross, M.D.
• Ridley O'Dill Ross, D.D.S.
• Rise Ross, M.D.

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.