Active NPI
Kerri an Mross, MD
- Internal Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0063347
- Practice address
- 3100 Wyman Park Dr
Dept of Medicine
Baltimore, MD 21211 - Phone
- (410) 338-3500
- NPI assigned
- May 23, 2006
- Last updated
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0063347 | MD | Primary |
Addresses
Primary practice location
3100 Wyman Park Dr
Dept of Medicine
Baltimore, MD 21211
Mailing address
9910 Franklin Square Dr # 2110
Baltimore, MD 21236-4902
Phone (410) 933-5412
Other practice location 1
3100 Wyman Park Dr
Dept of Medicine
Baltimore, MD 21211-2803
Phone (410) 338-3500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 408216800 | Medicaid | MD | |
| S189 / 0041 | Other | MD | BLUECHOICE |
| KF68 / 647758-01 | Other | MD | BC / BS OF MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Virginia Commonwealth University, School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Johns Hopkins Community Physicians, Inc
Practice addresses (Care Compare)
1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800
2700 Remington Ave
Suite 2000
Baltimore, MD 21211-3037
Phone (667) 312-2400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0063347 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians | Internal Medicine | Current | Accepting new patients |
| Johns Hopkins Community Physicians, Inc | Internal Medicine | Current | Accepting new patients |
| Maryland Family Care, Inc. | Internal Medicine | Current | Accepting new patients |
| Johns Hopkins Community Physicians, Inc | Current | Accepting new patients | |
| Family Health Centers of Baltimore | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800
2700 Remington Ave
Ste 2000
Baltimore, MD 21211
Phone (667) 312-2400
3100 Wyman Park Dr
Baltimore, MD 21211
Phone (410) 338-3000
315 N Calvert St
Fl 4
Baltimore, MD 21202
Phone (410) 520-5600
7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654
9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412
4224 Altamont PL Ste 201
Ste 201
White Plains, MD 20695
Phone (240) 607-1500
Interoperability endpoints
- kmross6882@direct.hopkinsmedicine.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1578598868
-
dba JHCP - 195 Thomas Johnson Drive
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
-
dba JHCP- 6225 Smith Avenue; Mental Health Therapy
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1346286713
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Baltimore, MD
- NPI 1669551321
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
dba Johns Hopkins Bayview Care Center
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1295780195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9910 FRANKLIN SQUARE DR # 2110",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212364902",
"telephone_number": "410-933-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 WYMAN PARK DR",
"address_2": "DEPT OF MEDICINE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21211",
"telephone_number": "410-338-3500"
}
],
"practiceLocations": [
{
"address_1": "3100 Wyman Park Dr",
"address_2": "Dept of Medicine",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212112803",
"country_code": "US",
"telephone_number": "410-338-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MROSS",
"first_name": "KERRI AN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0063347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "408216800",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE",
"identifier": "S189 / 0041",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC / BS OF MD",
"identifier": "KF68 / 647758-01",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.