Active NPI
Joe Kross, MD
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1265412969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 31248
- Practice address
- 1850 N Central Ave
Ste 1600
Phoenix, AZ 85004-4633 - Phone
- (602) 744-4765
- Fax
- (602) 744-4799
- NPI assigned
- Jan 19, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 31248 | AZ | Primary |
Addresses
Primary practice location
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004-4633
Mailing address
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004-4633
Phone (602) 744-4765
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P22278281 | Other | MEDICARE RAILROAD | |
| 794885 | Medicaid | AZ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deperro Plastic Surgery, LLC | Past | Accepting new patients | |
| Midwest Physician Anesthesia Services, Inc. | Anesthesiology | Past | Accepting new patients |
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.
-
- Plastic Surgery Physician
- Columbus, OH
- NPI 1134573496
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1598703951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1265412969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 N CENTRAL AVE",
"address_2": "STE 1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044633",
"telephone_number": "602-744-4765",
"fax_number": "602-744-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 N CENTRAL AVE",
"address_2": "STE 1600",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044633",
"telephone_number": "602-744-4765",
"fax_number": "602-744-4799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROSS",
"first_name": "JOE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "31248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P22278281",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "794885",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.