Individual provider Active NPI

Ross Joseph Brothers, M.D.

  • Dermatology Physician
  • Southfield, MI
National Provider Identifier
1235544941
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301105357 Issued in MI
Practice address
29355 Northwestern Hwy Ste 200
Southfield, MI 48034
Phone
(248) 353-0880
Fax
(888) 368-7898
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301105357 MI Primary

Addresses

Primary practice location

29355 Northwestern Hwy Ste 200
Southfield, MI 48034

Mailing address

29355 Northwestern Hwy Ste 200
Southfield, MI 48034-1088
Phone (248) 353-0880

Other practice location 1

25 Michigan St NE
Grand Rapids, MI 49503-2515
Phone (616) 391-3245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20180920000334 MI Practitioner - Dermatology 6002032133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wayne State University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Dermatolgy Group PCGroup PAC ID 5799767596, 3 clinicians

Practice addresses (Care Compare)

32270 Telegraph Rd
Suite 200
Bingham Farms, MI 48025-2428
Phone (248) 353-0880

57850 Van Dyke Rd
Suite 200
Washington, MI 48094-3821
Phone (248) 353-0880

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
84.37
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions393
Removal of skin cancer94
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301105357MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Northwest Dermatolgy Group, PC CurrentSince Jul 24, 2018 Accepting new patients

Locations

32270 Telegraph Rd
Ste 200
Bingham Farms, MI 48025
Phone (248) 353-0880

29355 Northwestern Hwy
Ste 200
Southfield, MI 48034
Phone (248) 262-9100

Interoperability endpoints

  • Direct secure messaging: rbrothers103218@direct.metrohealth.org
  • Direct secure messaging: rbrothers1118967@direct.hfhs.org
  • Direct secure messaging: ross.brothers.1@14250.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1235544941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29355 NORTHWESTERN HWY STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341088",
            "telephone_number": "248-353-0880",
            "fax_number": "888-368-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29355 NORTHWESTERN HWY STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-353-0880",
            "fax_number": "888-368-7898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Michigan St NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032515",
            "country_code": "US",
            "telephone_number": "616-391-3245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROTHERS",
        "first_name": "ROSS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301105357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.