Active NPI
Jose Augusto Ross, MD
- Anatomic Pathology & Clinical Pathology Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- ME 70208
- Practice address
- 18338 Murdock Cir
Port Charlotte, FL 33948-1029 - Phone
- (941) 313-9009
- Fax
- (941) 623-9532
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | ME 70208 | FL | Primary |
Addresses
Primary practice location
18338 Murdock Cir
Port Charlotte, FL 33948-1029
Mailing address
2725 Mayaguana CT
Punta Gorda, FL 33950-6365
Phone (941) 313-9009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110921700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18338 Murdock Cir
Port Charlotte, FL 33948-1032
Phone (941) 313-9009
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 70208 | FL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayshore Pathology Consultants PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pathology Services PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Ameripath Kentucky Inc | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
18338 Murdock Cir
Unit 106
Port Charlotte, FL 33948
18316 Murdock Cir
Unit 106
Port Charlotte, FL 33948
Phone (877) 463-5434
18338 Murdock Cir
Port Charlotte, FL 33948
Phone (941) 313-9009
2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122
18338 Murdock Cir
Ste 105
Pt Charlotte, FL 33948
Phone (941) 916-3000
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Port Charlotte, FL
- NPI 1700217460
-
- Clinical Medical Laboratory
- Cincinnati, OH
- NPI 1740253194
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Cedar City, UT
- NPI 1992777601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1235119124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 MAYAGUANA CT",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339506365",
"telephone_number": "941-313-9009",
"fax_number": "941-623-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18338 MURDOCK CIR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339481029",
"telephone_number": "941-313-9009",
"fax_number": "941-623-9532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "JOSE",
"middle_name": "AUGUSTO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "FL",
"license": "ME 70208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110921700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.