Individual provider Active NPI

Sanford Samuel Ross, D.O.

  • Emergency Medicine Physician
  • Brighton, MI
National Provider Identifier
1265631030
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101015944 Issued in MI
Practice address
917 Alpine CT
Brighton, MI 48116-1703
Phone
(810) 606-5000
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101015944 MI Primary

Addresses

Primary practice location

917 Alpine CT
Brighton, MI 48116-1703

Mailing address

917 Alpine CT
Brighton, MI 48116-1703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071126000241 MI Practitioner - Emergency Medicine 9436247632 Reassigns benefits to 2 organizations
I20241108003224 OH Practitioner - Emergency Medicine 9436247632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Human Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Observation Medicine Group PLLCGroup PAC ID 6305001777, 29 clinicians

Practice addresses (Care Compare)

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
88.63
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Cuyahoga County, LTD Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Observation Medicine Group PLLC Emergency Medicine CurrentSince May 17, 2012 Accepting new patients
Emergency Medicine Physicians of Genesee County, PLLC Emergency Medicine CurrentSince May 17, 2012 Accepting new patients
Statcare PC Emergency Medicine Past Accepting new patients
Obscare PC Emergency Medicine Past Accepting new patients
Stat Care PC Past Accepting new patients

Locations

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

141 N Forge St
Akron, OH 44304
Phone (330) 375-3361

Interoperability endpoints

  • Direct secure messaging: sross1149611@direct.hfhs.org

Organizations & group practices 6

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.

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1265631030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 ALPINE CT",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 ALPINE CT",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161703",
            "telephone_number": "810-606-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SANFORD",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101015944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.