Organization Active NPI

Ross Medical Group Inc

  • Specialist
  • Miami, FL
National Provider Identifier
1508961194
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OS0005757 Issued in FL
Legal business name
ROSS MEDICAL GROUP INC
Practice address
8200 SW 117TH Ave
Suite 100
Miami, FL 33183-4825
Phone
(305) 279-7677
Fax
(305) 279-0977
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Mrs. Zaida Ross
Title
Office Manager
Phone
(305) 279-7677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OS0005757 FL Primary

Addresses

Primary practice location

8200 SW 117TH Ave
Suite 100
Miami, FL 33183-4825

Mailing address

8200 SW 117TH Ave
Suite 100
Miami, FL 33183-4825
Phone (305) 279-7677

Other identifiers 1

IdentifierTypeStateIssuer
052734300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090416000361 FL Part B Supplier - Clinic/Group Practice 2365599909 Receives reassigned benefits from 9 practitioners
Practice locations: Miami, FL; South Miami, FL; Coral Gables, FL
O20181012000398 FL DME Supplier - Physician - General Practice 2365599909 Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

8200 SW 117th Ave
Ste 200
Miami, FL 33183
Phone (305) 279-7677

8200 SW 117th Ave
Ste 100200
Miami, FL 33183
Phone (305) 279-7677

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28070/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1508961194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834825",
            "telephone_number": "305-279-7677",
            "fax_number": "305-279-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SW 117TH AVE",
            "address_2": "SUITE 100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834825",
            "telephone_number": "305-279-7677",
            "fax_number": "305-279-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ZAIDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-279-7677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS0005757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052734300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.