Active NPI
Christopher D Ross, D.P.M.
- Podiatrist
- Pawling, NY
National Provider Identifier
1407855950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N004130-1
- Practice address
- 198 Route 22
Pawling, NY 12564-3241 - Phone
- (845) 855-1853
- Fax
- (845) 855-4687
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Podiatrist
- Pawling, NY
- NPI 1356524094
-
- Podiatrist
- New Windsor, NY
- NPI 1942484845
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Optum Medical Care PC
Practice addresses (Care Compare)
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 602 |
| Removal or shaving of skin growth | 74 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100301000152 | NY | Practitioner - Podiatry | 5597661108 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N004130-1 | NY | MD | Podiatrist |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Christopher D Ross | Podiatrist | Past | Accepting new patients |
| Christopher D Ross | Podiatrist | Past | Accepting new patients |
Locations
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
198 Route 22
Pawling, NY 12564
Phone (845) 855-1475
198 Route 22
Ste 2
Pawling, NY 12564
Phone (845) 855-1853
Philadelphia, PA 19195
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- cross143870@direct.optum.com
- cross2@direct.health-quest.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N004130-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
198 Route 22
Pawling, NY 12564-3241
Mailing address
198 Route 22
Pawling, NY 12564-2037
Phone (845) 855-1853
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01080386 | Medicaid | NY | |
| A400022867 | Other | NY | MEDICARE PTAN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2014.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1407855950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 ROUTE 22",
"city": "PAWLING",
"state": "NY",
"postal_code": "125642037",
"telephone_number": "845-855-1853",
"fax_number": "845-855-4687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 ROUTE 22",
"city": "PAWLING",
"state": "NY",
"postal_code": "125643241",
"telephone_number": "845-855-1853",
"fax_number": "845-855-4687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "CHRISTOPHER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N004130-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01080386",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "A400022867",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawling, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.