Active NPI
Tamareal Ross, M.D.
- Family Medicine Physician
- Raytown, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2023010416
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2023010416 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Carenow Urgent Care LLC | Current | Accepting new patients | |
| Carespot Professional Services LLC | Past | 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.
-
- Family Medicine Physician
- Magnolia, TX
- NPI 1093251860
-
dba CareNow
- Urgent Care Clinic/Center
- Overland Park, KS
- NPI 1568703783
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.