Individual provider Active NPI

Gregory Ross, PA-C

  • Surgical Physician Assistant
  • North Kansas City, MO
National Provider Identifier
1215610217
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
2790 Clay Edwards Dr Ste 625
North Kansas City, MO 64116-3278
Phone
(816) 455-3990
Fax
(816) 455-5351
NPI assigned
Aug 8, 2023
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MO Primary

Addresses

Primary practice location

2790 Clay Edwards Dr Ste 625
North Kansas City, MO 64116-3278

Mailing address

522 Locust LN Unit 103
Kansas City, MO 64106-1347
Phone (503) 780-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928000875 MO Practitioner - Physician Assistant 2466806294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2790 Clay Edwards Dr
Suite 625
North Kansas City, MO 64116-3278
Phone (816) 455-3990

2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Phone (816) 691-2021

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation CurrentSince Nov 6, 2023 Accepting new patients
Meritas Health Corporation CurrentSince Nov 6, 2023 Accepting new patients
Meritas Health Corporation Past Accepting new patients

Locations

9411 N Oak Trfy
Ste LL1
Kansas City, MO 64155
Phone (816) 436-7072

2790 Clay Edwards Dr
Ste 625
North Kansas City, MO 64116
Phone (816) 421-3115

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1215610217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 LOCUST LN UNIT 103",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641061347",
            "telephone_number": "503-780-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR STE 625",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163278",
            "telephone_number": "816-455-3990",
            "fax_number": "816-455-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "GREGORY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.