Individual provider Active NPI

Ned Jay Gross, M.D.

  • Dermatology Physician
  • Martinsville, VA
National Provider Identifier
1346229127
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101228761 Issued in VA
Practice address
314 Fairy Street Ext
Suite D
Martinsville, VA 24112-1913
Phone
(276) 666-8439
Fax
(276) 666-8440
NPI assigned
Jan 11, 2006
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101228761 VA Primary
Dermatology Physician 207N00000X 200000811 NC

Addresses

Primary practice location

314 Fairy Street Ext
Suite D
Martinsville, VA 24112-1913

Mailing address

314 Fairy Street Ext
Suite D
Martinsville, VA 24112-1913
Phone (276) 666-8439

Other identifiers 13

IdentifierTypeStateIssuer
0308562OtherNCUNITED HEALTHCARE
285584OtherVAANTHEM
7986163OtherVAAETNA
89127C5MedicaidNC
7336555OtherNCCIGNA
070015390OtherVARAILROAD MEDICARE
127C5OtherNCBLUE CROSS BLUE SHIELD NC
7336555001OtherVACIGNA
7986163OtherNCAETNA
A1547OtherNCMEDCOST
A1547OtherVAMEDCOST
005900646MedicaidVA
070015616OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120117000587 VA Practitioner - Dermatology 9133286024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Dermatology Center, PCGroup PAC ID 5991781650, 2 clinicians

Practice addresses (Care Compare)

314 Fairy St Ext
Suite D
Martinsville, VA 24112-1913
Phone (276) 666-8439

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision115
Removal of skin lesions1429
Skin biopsy336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200000811NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Dermatology Center, PC CurrentSince Oct 15, 2000 Accepting new patients
Coastal Dermatology, P.C. Dermatology Past Accepting new patients

Locations

806 Green Valley Rd
Ste 208
Greensboro, NC 27408
Phone (336) 389-1492

314 Fairy Street Ext
Ste D
Martinsville, VA 24112
Phone (276) 666-8439

Interoperability endpoints

  • Direct secure messaging: gross.ned.001.0460019@pide.meditab.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1346229127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FAIRY STREET EXT",
            "address_2": "SUITE D",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121913",
            "telephone_number": "276-666-8439",
            "fax_number": "276-666-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FAIRY STREET EXT",
            "address_2": "SUITE D",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121913",
            "telephone_number": "276-666-8439",
            "fax_number": "276-666-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "NED",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101228761",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200000811",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0308562",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "285584",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7986163",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127C5",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7336555",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070015390",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "127C5",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7336555001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7986163",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A1547",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "A1547",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005900646",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070015616",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.