Individual provider Active NPI

Sydney Mae Gross, OD

  • Optometrist
  • Sacaton, AZ
National Provider Identifier
1366130296
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002717 Issued in AZ
Practice address
483 W Seed Farm Rd
Sacaton, AZ 85147-5000
Phone
(602) 271-7960
NPI assigned
Apr 27, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002717 AZ Primary

Addresses

Primary practice location

483 W Seed Farm Rd
Sacaton, AZ 85147-5000

Mailing address

5904 Tennis CT
Midland, MI 48642-7007
Phone (989) 708-5014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231005002560 TX Practitioner - Optometry 1355796640 Reassigns benefits to 1 organization
I20240606003435 AZ Practitioner - Optometry 1355796640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons of Arizona, PCGroup PAC ID 0244313179, 5 clinicians

Practice addresses (Care Compare)

483 W Seed Farm Rd
Hu Hu Kam Memorial Hosp
Sacaton, AZ 85147-0038
Phone (602) 528-1200

6677 W Thunderbird Rd
Suite 101
Glendale, AZ 85306-3709
Phone (623) 878-3939

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians & Surgeons of Arizona, PC CurrentSince Jul 1, 2024 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Regional Behavioral Health Authority CurrentSince Sep 14, 2023 Accepting new patients
Gila River Health Care CurrentSince Sep 14, 2023 Accepting new patients
Retinal Consultants of Arizona LTD Past Accepting new patients

Locations

6677 W Thunderbird Rd
Glendale, AZ 85306
Phone (623) 255-4180

6677 W Thunderbird Rd
Ste 101
Glendale, AZ 85306

6677 W Thunderbird Rd
Ste F101
Glendale, AZ 85306

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

10603 N Hayden Rd
Bldg H
Scottsdale, AZ 85260
Phone (480) 664-4977

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1615/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sgross@eyesarizona.intellechartdirect.net

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": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1366130296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 TENNIS CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427007",
            "telephone_number": "989-708-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 W SEED FARM RD",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "851475000",
            "telephone_number": "602-271-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "SYDNEY",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacaton, AZ

Sources for this page

Verify at the official NPI Registry.