Individual provider Active NPI

Gary Dean Ross, MD

  • Internal Medicine Physician
  • Lewisburg, WV
National Provider Identifier
1386634715
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
03051 Issued in WV
Practice address
1464 Jefferson St N
Lewisburg, WV 24901-1380
Phone
(304) 645-3220
Fax
(844) 479-4545
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 03051 WV Primary

Addresses

Primary practice location

1464 Jefferson St N
Lewisburg, WV 24901-1380

Mailing address

1464 Jefferson St N
Lewisburg, WV 24901-1380
Phone (304) 645-3220

Other identifiers 1

IdentifierTypeStateIssuer
1386634715MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100818000586 NC Practitioner - Internal Medicine 8729112313 Practice locations: Ocean Isle Beach, NC
I20180403002719 WV Practitioner - Internal Medicine 8729112313 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JC Edwards School of Medicine, Marshall University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rainelle Medical Center IncGroup PAC ID 7416861810, shared by 16 NPIs, 39 clinicians

Practice addresses (Care Compare)

128 Community LN
White Sulphur Springs, WV 24986-1105
Phone (304) 956-2577

176 Medical Ctr Dr
Rainelle, WV 25962-1064

181 Bobcat Dr
Hinton, WV 25951-9130
Phone (304) 660-1155

2140 Jefferson St N
Suite 200
Lewisburg, WV 24901-7702
Phone (681) 484-7042

26737 Midland Trail
Hico, WV 25854
Phone (304) 969-8080

296 Fair St
Lewisburg, WV 24901-2632
Phone 30443861881002

390 Industrial Park Rd
Maxwelton, WV 24957-8073
Phone 30443861881002

458 Greenbrier St
Rupert, WV 25984-1404
Phone (304) 438-6188

595 Spartan LN
Lewisburg, WV 24901-9438
Phone (304) 645-1052

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03051WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rainelle Medical Center Inc CurrentSince Feb 13, 2025 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Feb 13, 2025 Accepting new patients
Rainelle Medical Center Inc CurrentSince Feb 13, 2025 Accepting new patients
Rainelle Medical Center, Inc CurrentSince Feb 13, 2025 Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc CurrentSince Feb 13, 2025 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Feb 13, 2025 Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Feb 13, 2025 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Feb 13, 2025 Accepting new patients
Rainelle Medical Center Inc CurrentSince Feb 13, 2025 Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Feb 13, 2025 Accepting new patients
Rainelle Medical Center, Inc. Past Accepting new patients

Locations

101 Railroad St
Alderson, WV 24910
Phone (304) 438-6818

2140 Jefferson St N
Ste 200
Lewisburg, WV 24901
Phone (681) 484-7042

595 Spartan Ln
Lewisburg, WV 24901
Phone (304) 645-1052

296 Fair St
Lewisburg, WV 24901
Phone (304) 647-4747

390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610

205 Medical Center Dr
Rainelle, WV 25962
Phone (304) 438-1922

176 Medical Center Dr
Rainelle, WV 25962

458 Greenbrier St
Rupert, WV 25984
Phone (304) 632-6602

128 Community Ln
White Sulphur Springs, WV 24986
Phone (304) 536-2454

Organizations & group practices 15

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.

View all 15

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1386634715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 JEFFERSON ST N",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011380",
            "telephone_number": "304-645-3220",
            "fax_number": "844-479-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 JEFFERSON ST N",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011380",
            "telephone_number": "304-645-3220",
            "fax_number": "844-479-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "GARY",
        "middle_name": "DEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "03051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386634715",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, WV

Sources for this page

Verify at the official NPI Registry.