Active NPI
Charles Anthony Ross, M.D.
- Family Medicine Physician
- Temple Terrace, FL
National Provider Identifier
1437287497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME96407
- 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, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132846 | Other | FL | AMERICAN BOARD OF FAMILY MEDICINE |
| ME96407 | Other | FL | MEDICAL LICENSE |
| 008257800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.99 of 100
- Quality
- 94.32
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 66.29
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.39 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 96407 | FL | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Medical of Florida LLC | Past | Accepting new patients | |
| Quality Healthcare Alliance LLC | Family Medicine | Past | Accepting new patients |
| Citrus Specialty Group, Inc | Past | Accepting new patients |
Interoperability endpoints
- charles.ross@hca4.eclinicaldirectplus.com
- 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.
-
- Physical Therapist
- Clearwater, FL
- NPI 1053728782
-
- Surgery Physician
- Inverness, FL
- NPI 1437552858
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.