Individual provider Active NPI

Tamareal Ross, M.D.

  • Family Medicine Physician
  • Raytown, MO
National Provider Identifier
1508276924
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023010416 Issued in MO
Practice address
9490 E State Route 350
Raytown, MO 64133-6509
Phone
(816) 256-4089
Fax
(816) 731-1548
NPI assigned
May 7, 2014
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 04-48005 KS
Family Medicine Physician 207Q00000X R3420 TX
Family Medicine Physician 207Q00000X 2023010416 MO Primary

Addresses

Primary practice location

9490 E State Route 350
Raytown, MO 64133-6509

Mailing address

9490 E State Route 350
Raytown, MO 64133-6509
Phone (816) 256-4089

Other practice location 1

9507 Antioch Rd
Overland Park, KS 66212-4059
Phone (913) 227-4631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, KS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20171010001378 TX Practitioner - Family Practice 9436449832 Reassigns benefits to 1 organization
I20230719000551 MO Practitioner - Family Practice 9436449832 Reassigns benefits to 1 organization
I20231009000744 KS Practitioner - Family Practice 9436449832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

10422 Research Forest Dr
Magnolia, TX 77354-6155
Phone (832) 702-7699

1150 W Dallas St
Conroe, TX 77301-2208
Phone (713) 955-4510

13761 Metcalf Ave
Overland Park, KS 66223-7899
Phone (913) 814-3788

14045 Memorial Dr
Houston, TX 77079-6826
Phone (832) 548-4410

300 Northpark Dr
Kingwood, TX 77339-1672
Phone (281) 310-8445

9490 E State Route 350
Carenow
Raytown, MO 64133-6509
Phone (816) 256-4089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023010416MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince May 28, 2023 Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients

Locations

13761 Metcalf Ave
Overland Park, KS 66223
Phone (913) 814-3788

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1300 E North Ave
Belton, MO 64012
Phone (816) 406-3443

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

9490 E State Route 350
Raytown, MO 64133
Phone (816) 256-4089

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1508276924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9490 E STATE ROUTE 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641336509",
            "telephone_number": "816-256-4089",
            "fax_number": "816-731-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9490 E STATE ROUTE 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641336509",
            "telephone_number": "816-256-4089",
            "fax_number": "816-731-1548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9507 Antioch Rd",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662124059",
            "country_code": "US",
            "telephone_number": "913-227-4631",
            "fax_number": "913-652-6537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TAMAREAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-48005",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R3420",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023010416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raytown, MO

Sources for this page

Verify at the official NPI Registry.