Rachael L Ross, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01057346A Issued in IN

Practice address

1619 W 5TH Ave
Gary, IN 46404-1506

Phone

(219) 886-4788

Fax

(219) 886-4106

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1467447755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4787",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464040787",
            "telephone_number": "219-886-4788",
            "fax_number": "219-886-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464041506",
            "telephone_number": "219-886-4788",
            "fax_number": "219-886-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RACHAEL",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01057346A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01057346A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200504830A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Rose Rohrman, NP
• Tyra Roland
• Rose Family Counseling Center, LLC
• Miranda Rose
• Nathaniel T Ross, MD
• Valerie Alicia Roth, SLP
• Paula Jean Rousis, RN
• Valerie Jean Royal, FNP
• Ameena R Rucker
• Veronica Ruiz-Avila

• Family Medicine Physician in Gary, IN
• Providers in Gary, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.