Individual provider Active NPI

Mitchell David Ross, MD

  • Hematology & Oncology Physician
  • Fayetteville, AR
National Provider Identifier
1275995540
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
E15454 Issued in AR
Practice address
3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone
(479) 587-1700
Fax
(479) 587-1366
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X E15454 AR Primary

Addresses

Primary practice location

3232 N Northhills Blvd
Fayetteville, AR 72703-4005

Mailing address

3901 Parkway Cir
Springdale, AR 72762-6362
Phone (479) 587-1700

Other practice location 1

3901 Parkway Cir
Springdale, AR 72762-6362
Phone (479) 587-1700

Other practice location 2

639 Hospital Dr
Mountain Home, AR 72653-2914
Phone (479) 587-1700

Other practice location 3

808 S 52nd St
Rogers, AR 72758-8602
Phone (479) 587-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220715001742 AR Practitioner - Hematology/Oncology 3173851672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Kansas School of Med (KC/Wich/Sal), 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlands Oncology Group PAGroup PAC ID 7416976196, 78 clinicians

Practice addresses (Care Compare)

3901 Pkwy Cir
Springdale, AR 72762-6362
Phone (479) 587-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40
Cost
75.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E15454ARMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Oncology Group PA Hematology & Oncology CurrentSince Aug 15, 2022 Accepting new patients
Highlands Oncology Group, PA CurrentSince Aug 15, 2022 Accepting new patients

Locations

3232 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 695-1199

639 Hospital Dr
Mountain Home, AR 72653
Phone (870) 624-1084

808 S 52nd St
Rogers, AR 72758
Phone (479) 878-1818

Interoperability endpoints

  • Direct secure messaging: mross45911@washingtonregional.direct-ci.com

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.

Hospital & facility affiliations 5

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1275995540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PARKWAY CIR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626362",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 N NORTHHILLS BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034005",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Parkway Cir",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727626362",
            "country_code": "US",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "AR",
            "postal_code": "726532914",
            "country_code": "US",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 S 52nd St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588602",
            "country_code": "US",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MITCHELL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E15454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.