NPIMap

Individual provider Active NPI

Ross Anderson

  • Urology Physician
  • Reno, NV
National Provider Identifier
1407275209
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
19401 Issued in NV
Practice address
5560 Kietzke LN BLDG a
Reno, NV 89511-3019
Phone
(775) 322-7811
NPI assigned
Apr 9, 2014
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 19401 NV Primary

Addresses

Primary practice location

5560 Kietzke LN BLDG a
Reno, NV 89511-3019

Mailing address

5560 Kietzke LN BLDG a
Reno, NV 89511-3019
Phone (775) 322-7811

Other practice location 1

5070 Ion Dr Ste 201
Sparks, NV 89436-1612
Phone (775) 322-7811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190530000471 UT Practitioner - Urology 5092018333 Reassigns benefits to 1 organization
I20200115002357 NV Practitioner - Urology 5092018333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Oregon Health Sciences University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Nevada LTDGroup PAC ID 1557460557, 24 clinicians

Practice addresses (Care Compare)

5560 Kietzke LN
BLDG a
Reno, NV 89511-3019
Phone (775) 322-7811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection26
Melanoma (skin cancer) excision13
Removal of tissue1-10
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services Current Accepting new patients
Surgery Nevada LLC CurrentSince May 8, 2022 Accepting new patients
Urology Nevada LTD Urology CurrentSince Jan 1, 2020 Accepting new patients
University of Utah Adult Services CurrentSince Apr 29, 2019 Accepting new patients
University of Utah Adult Services CurrentSince Apr 29, 2019 Accepting new patients
Reno Tahoe Anesthesia Weaver PC Past Accepting new patients

Locations

10745 Double R Blvd
Reno, NV 89521
Phone (775) 322-7811

5560 Kietzke Ln
Reno, NV 89511
Phone (775) 284-1612

5560 Kietzke Ln
Bldg A
Reno, NV 89511
Phone (775) 322-7811

5070 Ion Dr
Ste 201
Sparks, NV 89436
Phone (775) 322-7811

1950 Circle of Hope Dr
Slc, UT 84112
Phone (801) 585-0100

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19482/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ross.anderson.1@19482.direct.athenahealth.com

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1407275209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN BLDG A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113019",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN BLDG A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113019",
            "telephone_number": "775-322-7811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5070 Ion Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894361612",
            "country_code": "US",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "ROSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-09",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "19401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.