Individual provider Active NPI

Thomas Fredrick Ross, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Phoenix, AZ
National Provider Identifier
1376535237
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
13893 Issued in AZ
Practice address
340 E Palm LN
Suite 175
Phoenix, AZ 85004-4603
Phone
(602) 386-1100
Fax
(602) 386-1150
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 13893 AZ Primary
Cardiovascular Disease Physician 207RC0000X 13893 AZ

Addresses

Primary practice location

340 E Palm LN
Suite 175
Phoenix, AZ 85004-4603

Mailing address

340 E Palm LN
Suite 175
Phoenix, AZ 85004-4603
Phone (602) 386-1100

Other identifiers 2

IdentifierTypeStateIssuer
234047MedicaidAZ
060042674OtherAZRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20041124000904 AZ Practitioner - Cardiovascular Disease (Cardiology) 5092770412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Virginia School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10210 N 92ND St
Scottsdale, AZ 85258-4523

10510 N 92ND St
Scottsdale, AZ 85258-4566

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

20201 N Scottsdale Healthcare Dr
Suite 200
Scottsdale, AZ 85255-4137
Phone (602) 386-1100

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381

340 E Palm LN
Suite A175
Phoenix, AZ 85004-4603
Phone (602) 386-1100

9250 W Thomas Rd
Suite 300
Phoenix, AZ 85037-3384
Phone (602) 386-1100

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13893AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Oct 1, 2020 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Scottsdale Healthcare Corp CurrentSince Oct 1, 2020 Accepting new patients
Professional Diagnostix Cardiovascular Disease Past Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease Past Accepting new patients

Locations

340 E Palm Ln
Ste A175
Phoenix, AZ 85004
Phone (602) 386-1100

9250 W Thomas Rd
Ste 300
Phoenix, AZ 85037
Phone (602) 386-1100

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

Interoperability endpoints

  • Direct secure messaging: thomas.ross.p130@direct.aac.nextgenshare.com
  • Direct secure messaging: tross12413@direct.honorhealth.com

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 1

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1376535237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E PALM LN",
            "address_2": "SUITE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044603",
            "telephone_number": "602-386-1100",
            "fax_number": "602-386-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E PALM LN",
            "address_2": "SUITE 175",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850044603",
            "telephone_number": "602-386-1100",
            "fax_number": "602-386-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "THOMAS",
        "middle_name": "FREDRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "13893",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "13893",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234047",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060042674",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.