Individual provider Active NPI

Matthew S Ross, MD

  • Emergency Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1497064463
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD454518 Issued in PA
Practice address
49 Prince St
Harrisburg, PA 17109-3113
Phone
(717) 901-3440
NPI assigned
Sep 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A13264 CA
Emergency Medicine Physician 207P00000X MD454518 PA Primary

Addresses

Primary practice location

49 Prince St
Harrisburg, PA 17109-3113

Mailing address

49 Prince St
Harrisburg, PA 17109-3113
Phone (717) 901-3440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150119000291 CA Practitioner - Orthopedic Surgery 6901034479 Reassigns benefits to 3 organizations
I20210104001474 AZ Practitioner - Emergency Medicine 6901034479 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A13264CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empower St Josephs PLLC Emergency Medicine CurrentSince Jan 9, 2024 Accepting new patients
Michael S. Agron, M.D., Inc. Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Riverside Emergency Physicians Medical Group Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
St Jude Emergency Medical Group Inc Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince Jan 20, 2023 Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Jul 19, 2023 Accepting new patients

Locations

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

17040 N 51st Ave
Ste 100
Glendale, AZ 85308
Phone (602) 406-1164

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

14818 N 74th St
Scottsdale, AZ 85260
Phone (480) 339-5088

10146 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 229-2657

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

6350 W Marana Center Blvd
Tucson, AZ 85742
Phone (520) 579-6040

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cherish HospiceTorrance, CA, CCN 551559 Hospice Contracted Managing Employee (100%) Feb 15, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1497064463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PRINCE ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093113",
            "telephone_number": "717-901-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PRINCE ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093113",
            "telephone_number": "717-901-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A13264",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD454518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.