Individual provider Active NPI

James M Ross, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tulsa, OK
National Provider Identifier
1285605113
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
21872 Issued in OK
Practice address
1120 S Utica Ave
Palliative Care Dept
Tulsa, OK 74104-4012
Phone
(918) 579-3871
Fax
(918) 579-3809
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21872 OK
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 21872 OK Primary

Addresses

Primary practice location

1120 S Utica Ave
Palliative Care Dept
Tulsa, OK 74104-4012

Mailing address

1120 S Utica Ave
Palliative Care Dept
Tulsa, OK 74104-4012
Phone (918) 579-3871

Other identifiers 1

IdentifierTypeStateIssuer
100148490AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070710000439 OK Practitioner - Hospice/Palliative CarePractitioner - Family PracticePractitioner - Obstetrics/Gynecology 8921108762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone (918) 579-9393

Hospital & facility affiliations

  • Complete Hospice Care Hospice, Muskogee, OK, CCN 371710
  • Complete Hospice Care of Eastern Oklahoma Hospice, Broken Bow, OK, CCN 371692
  • Complete Hospice Care of Oklahoma City Hospice, Oklahoma City, OK, CCN 371654
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6762OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group, LLC Hospice and Palliative Medicine CurrentSince Jan 1, 2016 Accepting new patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Southcrest Emergency Physicians PC Past Accepting new patients
Jane Phillips Nowata Hospital Inc Past Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

7600 S Lewis Ave
Tulsa, OK 74136
Phone (918) 493-2229

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

9001 S 101st East Ave
Ste 300
Tulsa, OK 74133
Phone (918) 392-5424

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

9001 S 101st East Ave
Ste 270
Tulsa, OK 74133
Phone (918) 392-5470

Dept 1206
Tulsa, OK 74182

8801 S 101st East Ave
Tulsa, OK 74133
Phone (800) 965-4565

1120 S Utica Ave
#G100
Tulsa, OK 74104
Phone (918) 392-0175

Interoperability endpoints

  • Direct secure messaging: jross113159@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 4

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 6

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1285605113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "address_2": "PALLIATIVE CARE DEPT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-3871",
            "fax_number": "918-579-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S UTICA AVE",
            "address_2": "PALLIATIVE CARE DEPT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044012",
            "telephone_number": "918-579-3871",
            "fax_number": "918-579-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "21872",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "OK",
            "license": "21872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100148490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.