Individual provider Active NPI

David G. Gross, D.O.

  • Ophthalmology Physician
  • Merrillville, IN
National Provider Identifier
1346373313
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
02001570A Issued in IN
Practice address
303 W 89TH Ave
Suite E4
Merrillville, IN 46410-6294
Phone
(219) 769-8989
Fax
(219) 756-6389
NPI assigned
Mar 13, 2007
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 02001570A IN Primary

Addresses

Primary practice location

303 W 89TH Ave
Suite E4
Merrillville, IN 46410-6294

Mailing address

303 W 89TH Ave
Suite E4
Merrillville, IN 46410-6294
Phone (219) 769-8989

Other identifiers 2

IdentifierTypeStateIssuer
100475590MedicaidIN
000000092837OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.gross.p1@direct.deen-grosseye.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100708000196 IN Practitioner - Ophthalmology 6507830502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David G Gross DO PCGroup PAC ID 6608840608, 3 clinicians

Practice addresses (Care Compare)

303 W 89TH Ave
Suite E4
Merrillville, IN 46410-6295
Phone (219) 769-8989

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery607
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David G Gross DO, PC Ophthalmology CurrentSince Mar 4, 1998 Accepting new patients
Levin Eye Care Center, P.C. Past Accepting new patients
David G. Gross, D.O., P.C. Ophthalmology Past Accepting new patients
David G. Gross, D.O., P.C. Ophthalmology PastSince Mar 4, 1998 Accepting new patients

Locations

1400 S Lake Park Ave
Ste 103
Hobart, IN 46342
Phone (219) 947-4410

303 W 89th Ave
Ste E4
Merrillville, IN 46410
Phone (219) 769-8989

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1346373313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 89TH AVE",
            "address_2": "SUITE E4",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106294",
            "telephone_number": "219-769-8989",
            "fax_number": "219-756-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W 89TH AVE",
            "address_2": "SUITE E4",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106294",
            "telephone_number": "219-769-8989",
            "fax_number": "219-756-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "DAVID",
        "middle_name": "G.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "02001570A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100475590",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000092837",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.gross.p1@direct.deen-grosseye.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "303 W 89th Ave",
            "address_2": "Suite E4",
            "city": "Merrillville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464106294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.