Dominic L Gross, MD

Key facts

NPI

1275572307

Entity type

Individual (NPI type 1)

Primary specialty

Orthopaedic Surgery Physician 207X00000X

License

Q1618 (TX)

Practice address

125 W Hague Rd Ste 310
El Paso, TX 79902-5806

Phone

(915) 307-2112

Fax

(915) 307-2331

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 3

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.

• SRZC and Associates PA Orthopaedic Hand Surgery Physician · El Paso, TX · NPI 1790161644
  Medicare reassignment Authorized official TX
• Orthopedic & Fracture Clinic PA Specialist · Caldwell, ID · NPI 1184739351
  NPD (past)
• Richard Lochhead MD PLLC Neurological Surgery Physician · Boise, ID · NPI 1588063168
  NPD (past)

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Paso Healthcare System LTD General Acute Care Hospital · El Paso, TX · NPI 1770536120
  Care Compare affiliation Hospital
• Tenet Hospitals Limited General Acute Care Hospital · El Paso, TX · NPI 1700801909
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Orthopedic Surgery
Also: Hand Surgery

Education

University of Kansas School of Med (KC/Wich/Sal), 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospitals of Providence - Memorial Campus Hospital · El Paso, TX · CCN 450002
• Las Palmas Medical Center a Campus of LPDS Healthc Hospital · El Paso, TX · CCN 450107

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 4, 2015.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1275572307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD STE 310",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025806",
            "telephone_number": "915-307-2112",
            "fax_number": "915-307-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W HAGUE RD STE 310",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025806",
            "telephone_number": "915-307-2112",
            "fax_number": "915-307-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "DOMINIC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "M7344",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ID",
            "license": "M7344",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q1618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

• Anthony Irving Gronich, DDS
• Neal Frank Gronich, D.D.S.
• Leticia Yvonne Groover, RDH
• Caitlin Groseclose
• Amanda Mitchell Gross, DDS, MS
• Eric M Gross, MD
• Herman H Grothe, O.D
• Grounded Bodywork by Melissa LLC
• Grounded Counseling & Services, PLLC
• James Welsey Grow III, DO

All providers in El Paso, TX · Orthopaedic Surgery Physician in Texas