Individual provider Active NPI

Christopher D Ross, D.P.M.

  • Podiatrist
  • Pawling, NY
National Provider Identifier
1407855950
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004130-1 Issued in NY
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.

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 1,013 clinicians

Practice addresses (Care Compare)

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue602
Removal or shaving of skin growth74

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000152 NY Practitioner - Podiatry 5597661108 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004130-1NYMDPodiatrist

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Feb 15, 2010 Accepting new patients
Optum Medical Care, P.C. CurrentSince Feb 15, 2010 Accepting new patients
Christopher D Ross Podiatrist PastSince Sep 24, 2002 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

  • Direct secure messaging: cross143870@direct.optum.com
  • Direct secure messaging: cross2@direct.health-quest.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004130-1 NY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
01080386MedicaidNY
A400022867OtherNYMEDICARE 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

Verify at the official NPI Registry.