Active NPI
Diane Ellen Ross, M.D.
- Neurology Physician
- Gulfport, MS
National Provider Identifier
1447323001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 09562
- Practice address
- 749 Oakleigh Ave
Gulfport, MS 39507-3809 - Phone
- (228) 896-3317
- Fax
- (228) 896-3314
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 09562 | MS | Primary |
Addresses
Primary practice location
749 Oakleigh Ave
Gulfport, MS 39507-3809
Mailing address
2160 E Pass Rd
Suite D
Gulfport, MS 39507-3801
Phone (228) 896-3317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010874 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12261 Hwy 49
Suite 1
Gulfport, MS 39503-2976
Phone (228) 265-7185
749 Oakleigh Ave
Gulfport, MS 39507-3809
Phone (228) 896-3317
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09562 | MS | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Diane Ross MD | Past | Accepting new patients |
Locations
4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451
Interoperability endpoints
- deross@direct.mhg.com
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.
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
- Specialist
- Gulfport, MS
- NPI 1639566060
-
- Physical Therapist
- Gulfport, MS
- NPI 1023508348
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
Hospital & facility affiliations 66
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gulfport, MS
- NPI 1174527030
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1447323001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2160 E PASS RD",
"address_2": "SUITE D",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073801",
"telephone_number": "228-896-3317",
"fax_number": "228-896-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 OAKLEIGH AVE",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073809",
"telephone_number": "228-896-3317",
"fax_number": "228-896-3314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "DIANE",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MS",
"license": "09562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00010874",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.