Individual provider Active NPI

Patrick James Ross, M.D.

  • Surgery Physician
  • Muskogee, OK
National Provider Identifier
1316181720
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27227 Issued in OK
Practice address
101 Rockefeller Dr Ste 201
Muskogee, OK 74401-5050
Phone
(918) 682-4580
Fax
(918) 681-4566
NPI assigned
Apr 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 27227 OK Primary

Addresses

Primary practice location

101 Rockefeller Dr Ste 201
Muskogee, OK 74401-5050

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125

Other practice location 1

6475 S Yale Ave Ste 406
Tulsa, OK 74136-7818
Phone (918) 502-9140

Other identifiers 3

IdentifierTypeStateIssuer
27227OtherOKSTATE LICENSE
200247530AMedicaidOK
221178OtherMALIMITED STATE LICENSE

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
I20090708000138 OK Practitioner - General Surgery 4385795145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2004
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)

1809 E 13TH St
Suite 400
Tulsa, OK 74104-4431
Phone (918) 599-8200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Jul 21, 2018 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Jun 1, 2023 Accepting new patients
Ahs Oklahoma Physician Group LLC Surgery CurrentSince Jun 1, 2023 Accepting new patients
Ahs Hillcrest Medical Center, LLC Past Accepting new patients
St. John Physicians, Inc. PastSince Jul 1, 2009 Accepting new patients

Locations

101 Rockefeller Dr
Ste 201
Muskogee, OK 74401
Phone (918) 682-4580

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

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6600 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-1805

6475 S Yale Ave
Ste 406
Tulsa, OK 74136
Phone (918) 502-9140

Dept 1206
Tulsa, OK 74182

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

1809 E 13th St
Ste 400
Tulsa, OK 74104
Phone (918) 599-8200

Interoperability endpoints

  • Direct secure messaging: pross112959@ahs.direct-ci.com
  • Direct secure messaging: patrick.ross@direct.stjohnhealthsystem.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 5

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 3

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1316181720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "888-247-0125",
            "fax_number": "918-502-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROCKEFELLER DR STE 201",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015050",
            "telephone_number": "918-682-4580",
            "fax_number": "918-681-4566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6475 S Yale Ave Ste 406",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741367818",
            "country_code": "US",
            "telephone_number": "918-502-9140",
            "fax_number": "918-502-9145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "27227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "27227",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200247530A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED STATE LICENSE",
            "identifier": "221178",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.