NPIMap

Individual provider Active NPI

Ronald R Ross, PA-C

  • Surgical Physician Assistant
  • Leawood, KS
National Provider Identifier
1285636605
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
15-00908 Issued in KS
Practice address
3651 College Blvd Ste 100B
Leawood, KS 66211-1910
Phone
(913) 362-0031
Fax
(913) 253-1766
NPI assigned
Aug 15, 2005
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2017004545 MO
Surgical Physician Assistant 363AS0400X 15-00908 KS Primary

Addresses

Primary practice location

3651 College Blvd Ste 100B
Leawood, KS 66211-1910

Mailing address

3651 College Blvd
Leawood, KS 66211-1910
Phone (913) 319-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100826000395 KS Practitioner - Physician Assistant 1456349190 Reassigns benefits to 4 organizations
I20260401003160 NE Practitioner - Physician Assistant 1456349190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3651 College Blvd
Leawood, KS 66211-1910
Phone (913) 319-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-00908KSMDSurgical Physician Assistant
2017004545MOMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Memorial Hospital CurrentSince Dec 1, 2017 Accepting new patients
Jefferson County Memorial Hospital, Inc CurrentSince Sep 1, 2025 Accepting new patients
Neosho Memorial Regional Medical Center CurrentSince Jan 2, 2018 Accepting new patients
Dickson Diveley Midwest Orthopaedic Clinic LLC CurrentSince Apr 1, 2021 Accepting new patients
Dickson Diveley Midwest Orthopaedic Clinic LLC CurrentSince Apr 1, 2021 Accepting new patients
Nmrmc Urology Clinic CurrentSince Jan 2, 2018 Accepting new patients
Jefferson County Memorial Hospital, Inc CurrentSince Dec 1, 2017 Accepting new patients
Jefferson County Memorial Hospital, Inc Physician Assistant Past Accepting new patients
Main Line Healthcare Past Accepting new patients

Locations

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

3651 College Blvd
Ste 100B
Leawood, KS 66211
Phone (913) 362-0031

10777 Nall Ave
Ste 300
Overland Park, KS 66211
Phone (913) 257-6259

3651 W 111th St
Overland Park, KS 66211
Phone (800) 876-5958

7450 Kessler St
Ste 140
Shawnee Mission, KS 66204
Phone (913) 362-8317

408 Delaware St
Winchester, KS 66097
Phone (844) 536-9449

17067 S Outer Rd
Ste 301
Belton, MO 64012
Phone (913) 257-6259

201 W Road Mize Rd
Ste 200
Blue Springs, MO 64014

4320 Wornall Rd
Ste 610
Kansas City, MO 64111
Phone (816) 531-5757

Interoperability endpoints

  • Direct secure messaging: ronald.ross.1@11418.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1285636605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111910",
            "telephone_number": "913-319-7600",
            "fax_number": "913-253-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 COLLEGE BLVD STE 100B",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111910",
            "telephone_number": "913-362-0031",
            "fax_number": "913-253-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RONALD",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2017004545",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "15-00908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.