Active NPI
Michael David Ross, M.D.
- Rheumatology Physician
- Boynton Beach, FL
National Provider Identifier
1235139403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- ME0031900
- Practice address
- 1301 N Congress Ave
Suite 200
Boynton Beach, FL 33426-3320 - Phone
- (561) 439-1800
- Fax
- (561) 439-4874
- NPI assigned
- Jul 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | ME0031900 | FL | Primary |
Addresses
Primary practice location
1301 N Congress Ave
Suite 200
Boynton Beach, FL 33426-3320
Mailing address
1301 N Congress Ave
Suite 200
Boynton Beach, FL 33426-3320
Phone (561) 659-4242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50864 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0031900 | FL | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437523200000",
"number": "1235139403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 N CONGRESS AVE",
"address_2": "SUITE 200",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334263320",
"telephone_number": "561-659-4242",
"fax_number": "561-659-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N CONGRESS AVE",
"address_2": "SUITE 200",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334263320",
"telephone_number": "561-439-1800",
"fax_number": "561-439-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2015-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "FL",
"license": "ME0031900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "50864",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.