Individual provider Active NPI

James Howard Brody Ross

  • Obstetrics & Gynecology Physician
  • Bloomfield Township, MI
National Provider Identifier
1508228750
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301512511 Issued in MI
Practice address
43097 Woodward Ave Ste 202
Bloomfield Township, MI 48302-5043
Phone
(248) 334-4505
Fax
(248) 253-0347
NPI assigned
Mar 27, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.138777 OH
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 25MA11833500 NJ
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 4301512511 MI
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 4301512511 MI Primary

Addresses

Primary practice location

43097 Woodward Ave Ste 202
Bloomfield Township, MI 48302-5043

Mailing address

43097 Woodward Ave Ste 202
Bloomfield Hills, MI 48302-5043
Phone (248) 334-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MI2 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
I20230531000105 NJ Practitioner - Obstetrics/Gynecology 8426341660 Reassigns benefits to 1 organization
I20240826001022 MI Practitioner - Obstetrics/Gynecology 8426341660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Olma Specialty Services LLCGroup PAC ID 8426464884, 42 clinicians

Practice addresses (Care Compare)

1854 W Auburn Rd
Rochester Hills, MI 48309-3868

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-2270

5315 Elliott Dr
201 Trinity Health Iha Medical Group Hepato
Ypsilanti, MI 48197-8634
Phone (248) 287-7820

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301512511MIMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician
25MA11833500NJMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 8, 2023 Accepting new patients
Iha Olma Specialty Services LLC CurrentSince Jul 1, 2024 Accepting new patients
Iha Olma Specialty Services LLC Obstetrics & Gynecology CurrentSince Jul 1, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince May 8, 2023 Accepting new patients

Locations

43097 Woodward Ave
Ste 202
Bloomfield Township, MI 48302
Phone (248) 332-9432

1854 W Auburn Rd
Ste 100B
Rochester Hills, MI 48309
Phone (248) 218-9260

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

19 Davis Ave
Wall Township, NJ 07753
Phone (732) 776-4551

Interoperability endpoints

  • Direct secure messaging: jross3592012@direct.trinity-health.org
  • Direct secure messaging: james.ross@direct.hackensackmeridian.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

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.

Hospital & facility affiliations 1

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": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1508228750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE STE 202",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025043",
            "telephone_number": "248-334-4505",
            "fax_number": "248-253-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE STE 202",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483025043",
            "telephone_number": "248-334-4505",
            "fax_number": "248-253-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JAMES",
        "middle_name": "HOWARD BRODY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-27",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.138777",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NJ",
            "license": "25MA11833500",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MI",
            "license": "4301512511",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301512511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Township, MI

Sources for this page

Verify at the official NPI Registry.