Individual provider Active NPI

Elle Ross, D.O. PH.D. M.S.

  • Internal Medicine Physician
  • Glendale, CO
National Provider Identifier
1275976706
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR.0077187 Issued in CO
Practice address
4100 E Mississippi Ave Ste 110
Glendale, CO 80246-3051
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0077187 CO Primary
Internal Medicine Physician 207R00000X 006796 AZ

Addresses

Primary practice location

4100 E Mississippi Ave Ste 110
Glendale, CO 80246-3051

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice location 1

1501 N Campbell Ave
Banner University Medical Center U of A
Tucson, AZ 85724-0001
Phone (520) 626-6453

Other practice location 2

2201 E Camelback Rd Ste 101A
Phoenix, AZ 85016-3495
Phone (888) 663-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160816000415 AZ Practitioner - Internal Medicine 4587958426 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rocky Vista University College of Osteopathic Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians
Omg Arizona LLCGroup PAC ID 9638499247, 7 clinicians

Practice addresses (Care Compare)

2201 E Camelback Rd
Suite 101a
Phoenix, AZ 85016-3495
Phone (888) 405-6396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
006796AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC Internal Medicine Current Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Omg Arizona, LLC Internal Medicine CurrentSince Mar 15, 2023 Accepting new patients
Summit Medical Group Arizona LLC Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Iora Senior Health, LLC Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
One Medical Group of Arizona, PC Internal Medicine Past Accepting new patients
Iora Senior Health, LLC Internal Medicine Past Accepting new patients

Locations

5421 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 547-9615

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

2201 E Camelback Rd
Ste 101A
Phoenix, AZ 85016
Phone (602) 218-4075

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

Organizations & group practices 7

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1275976706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E MISSISSIPPI AVE STE 110",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802463051",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 N Campbell Ave",
            "address_2": "Banner University Medical Center U of A",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857240001",
            "country_code": "US",
            "telephone_number": "520-626-6453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 E Camelback Rd Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163495",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ELLE",
        "name_prefix": "Dr.",
        "credential": "D.O. PH.D. M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0077187",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "006796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CO

Sources for this page

Verify at the official NPI Registry.