Individual provider Active NPI

Charles Anthony Ross, M.D.

  • Family Medicine Physician
  • Temple Terrace, FL
National Provider Identifier
1437287497
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME96407 Issued in FL
Practice address
8727 Temple Terrace Hwy
Temple Terrace, FL 33637-6700
Phone
(813) 796-5400
Fax
(813) 776-0079
NPI assigned
Mar 1, 2007
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME96407 FL Primary
Sports Medicine (Family Medicine) Physician 207QS0010X ME 96407 FL

Addresses

Primary practice location

8727 Temple Terrace Hwy
Temple Terrace, FL 33637-6700

Mailing address

8727 Temple Terrace Hwy
Temple Terrace, FL 33637-6700
Phone (813) 796-5400

Other identifiers 3

IdentifierTypeStateIssuer
132846OtherFLAMERICAN BOARD OF FAMILY MEDICINE
ME96407OtherFLMEDICAL LICENSE
008257800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
94.32
Promoting interoperability
99
Improvement activities
40
Cost
66.29

Merit-based Incentive Payment System (MIPS)

Final score
93.39 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
78.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 96407FLMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Medical of Florida LLC Past Accepting new patients
Quality Healthcare Alliance LLC Family Medicine Past Accepting new patients
Citrus Specialty Group, Inc PastSince Nov 30, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charles.ross@hca4.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/24544/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1437287497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 TEMPLE TERRACE HWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336376700",
            "telephone_number": "813-796-5400",
            "fax_number": "813-776-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 TEMPLE TERRACE HWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336376700",
            "telephone_number": "813-796-5400",
            "fax_number": "813-776-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CHARLES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96407",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME 96407",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF FAMILY MEDICINE",
            "identifier": "132846",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME96407",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008257800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.