Individual provider Active NPI

Ann M Ross, MD

  • Obstetrics & Gynecology Physician
  • Pensacola, FL
National Provider Identifier
1265468268
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME132398 Issued in FL
Practice address
5855 Creek Station Dr
Pensacola, FL 32504-8626
Phone
(850) 435-4352
Fax
(850) 497-6195
NPI assigned
Jun 23, 2006
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 033313 CT
Obstetrics & Gynecology Physician 207V00000X ME132398 FL Primary

Addresses

Primary practice location

5855 Creek Station Dr
Pensacola, FL 32504-8626

Mailing address

5855 Creek Station Dr
Pensacola, FL 32504-8626
Phone (850) 435-4352

Other practice location 1

55 Lock Street
New Haven, CT 06520-8237
Phone (203) 432-0076

Other practice location 2

2 Tampa General Cir
Tampa, FL 33606-3603
Phone (813) 974-2201

Other identifiers 3

IdentifierTypeStateIssuer
021349800MedicaidFL
P5Z6WOtherFLBLUE CROSS BLUE SHIELD
L7425OtherFLMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aross168500@direct.tgh.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170807002926 FL Practitioner - Obstetrics/Gynecology 8426238718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4202 E Fowler Ave
Tampa, FL 33620-6750

5802 N 30TH St
Tampa, FL 33610-1469
Phone (813) 236-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
033313CTMDObstetrics & Gynecology Physician
ME132398FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
University Medical Service Association Inc CurrentSince Jan 28, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jul 1, 2017 Accepting new patients
University Medical Service Association Inc CurrentSince Jan 28, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jul 1, 2017 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Locations

1399 Country Club Rd
Gulf Breeze, FL 32563
Phone (850) 416-4709

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

13330 Usf Laurel Dr
Tampa, FL 33612
Phone (813) 396-9478

2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8500

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

5802 N 30th St
Tampa, FL 33610
Phone (813) 236-5100

2 Tampa General Cir
Fl 4
University of Tampa, FL 33606
Phone (813) 259-8500

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ann.ross.1@9582.direct.athenahealth.com
  • Direct secure messaging: aross168500@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 9

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 1

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1265468268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 CREEK STATION DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048626",
            "telephone_number": "850-435-4352",
            "fax_number": "850-497-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 CREEK STATION DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048626",
            "telephone_number": "850-435-4352",
            "fax_number": "850-497-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lock Street",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065208237",
            "country_code": "US",
            "telephone_number": "203-432-0076",
            "fax_number": "203-432-7289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Tampa General Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063603",
            "country_code": "US",
            "telephone_number": "813-974-2201",
            "fax_number": "813-974-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "033313",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME132398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021349800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P5Z6W",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "L7425",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aross168500@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2 Tampa General Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.