Individual provider Active NPI

Raymond Thomas Ross, M.D.

  • Surgery Physician
  • Colonial Heights, VA
National Provider Identifier
1477529212
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101038388 Issued in VA
Practice address
930 South Ave
Suite 4a
Colonial Heights, VA 23834-3621
Phone
(804) 524-2294
Fax
(804) 524-0016
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101038388 VA Primary

Addresses

Primary practice location

930 South Ave
Suite 4a
Colonial Heights, VA 23834-3621

Mailing address

930 South Ave
Suite 4a
Colonial Heights, VA 23834-3621
Phone (804) 524-2294

Other identifiers 2

IdentifierTypeStateIssuer
027707OtherVAANTHEM BCBS
007385382MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RAYMOND.ROSS@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208000582 ME Practitioner - General Surgery 7618031436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Eastern Virginia Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millinocket Regional HospitalGroup PAC ID 3779491212, 17 clinicians

Practice addresses (Care Compare)

165 Poplar St
Suite 2
Millinocket, ME 04462-1235
Phone (207) 723-3004

Hospital & facility affiliations

  • Millinocket Regional Hospital Hospital, Millinocket, ME, CCN 201307

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millinocket Regional Hospital CurrentSince Dec 18, 2023 Accepting new patients
Millinocket Regional Hospital CurrentSince Dec 18, 2023 Accepting new patients

Locations

200 Somerset St
Millinocket, ME 04462
Phone (207) 723-3003

165 Poplar St
#2
Millinocket, ME 04462
Phone (207) 723-3003

Interoperability endpoints

  • Direct secure messaging: raymond.ross@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1477529212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SOUTH AVE",
            "address_2": "SUITE 4A",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343621",
            "telephone_number": "804-524-2294",
            "fax_number": "804-524-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SOUTH AVE",
            "address_2": "SUITE 4A",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343621",
            "telephone_number": "804-524-2294",
            "fax_number": "804-524-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RAYMOND",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101038388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "027707",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007385382",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RAYMOND.ROSS@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "930 South Ave",
            "address_2": "SUITE 4A",
            "city": "Colonial Heights",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238343621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.