Active NPI
Michael T. Ross, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Sterling Heights, MI
National Provider Identifier
1467526582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 4301044928
- Practice address
- Henry Ford Health System
3500 Fifteen Mile Road
Sterling Heights, MI 48310 - Phone
- (586) 977-9936
- Fax
- (586) 268-8158
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301044928 | MI | Primary |
Addresses
Primary practice location
Henry Ford Health System
3500 Fifteen Mile Road
Sterling Heights, MI 48310
Mailing address
Henry Ford Health System
3500 Fifteen Mile Road
Sterling Heights, MI 48310
Phone (586) 977-9936
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010H262530 | Other | BLUE CROSS-BLUE CROSS | |
| 301419010 | Medicaid | MI | |
| MR044928 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| MR044928 | Other | CHAMPUS-CHAMPUS | |
| MR044928 | Other | MI | BCBS |
| 105201834 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients | |
| Orchardview Physicians | Past | Accepting new patients | |
| SJMH Medical Practice-SMHC | Past | Accepting new patients | |
| Quality Care Physicians Group | Past | Accepting new patients | |
| Independent Emergency Physicians, P.C. | Emergency Medical Services | Past | Accepting new patients |
| Emergency Department Physicians, P.C. | Past | Accepting new patients |
Interoperability endpoints
- mross115001@mymichiganhealth.midirect.net
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1225083595
-
- Emergency Medical Services (Emergency Medicine) Physician
- Southfield, MI
- NPI 1780791343
-
- Urgent Care Clinic/Center
- Washington Township, MI
- NPI 1649435256
-
- Emergency Medicine Physician
- Waterford, MI
- NPI 1114974912
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1346284684
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1467526582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "3500 FIFTEEN MILE ROAD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48310",
"telephone_number": "586-977-9936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "3500 FIFTEEN MILE ROAD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48310",
"telephone_number": "586-977-9936",
"fax_number": "586-268-8158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "MICHAEL",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301044928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "010H262530",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "301419010",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "MR044928",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "MR044928",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "MR044928",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105201834",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.