Individual provider Active NPI

Reneita V Ross, M.D.

  • Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1528091410
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD432264 Issued in PA
Practice address
833 Chestnut St FRNT 1
Philadelphia, PA 19107-4420
Phone
(215) 955-5000
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 56475 GA
Gynecology Physician 207VG0400X 0101246202 VA
Gynecology Physician 207VG0400X MD432264 PA Primary

Addresses

Primary practice location

833 Chestnut St FRNT 1
Philadelphia, PA 19107-4420

Mailing address

833 Chestnut St FRNT 1
Philadelphia, PA 19107-4420
Phone (215) 955-5000

Other practice location 1

3 Crescent Dr Fl 2
Philadelphia, PA 19112-1016
Phone (215) 503-7096

Other practice location 2

2130 Spring Garden St Fl 1
Philadelphia, PA 19130-3502
Phone (215) 955-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000018 PA Practitioner - Obstetrics/Gynecology 0648207837 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Wisconsin School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824
Phone (215) 955-6161

2130 Spring Garden St
Philadelphia, PA 19130-3502
Phone (215) 955-9555

2301 S Broad St
Philadelphia, PA 19148-3542

3 Crescent Dr
Philadelphia, PA 19112-1016

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56475GAMDGynecology Physician
0101246202VAMDObesity Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Health Medical Group Current Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Mar 14, 2019 Accepting new patients
Tower Health Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Mar 14, 2019 Accepting new patients
Tower Health Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Oct 1, 2011 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Oct 1, 2011 Accepting new patients
Jefferson University Physicians CurrentSince May 26, 2019 Accepting new patients

Locations

833 Chestnut St
Fl 1
Philadelphia, PA 19107
Phone (215) 955-1085

3 Crescent Dr
Fl 2
Philadelphia, PA 19112
Phone (215) 503-7096

833 Chestnut St
Frnt 1
Philadelphia, PA 19107
Phone (215) 955-5000

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

2130 Spring Garden St
Fl 1
Philadelphia, PA 19130
Phone (215) 955-9555

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

824 Main St
Ste 306
Phoenixville, PA 19460
Phone (610) 983-1530

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

301 S 7th Ave
Ste 1020
West Reading, PA 19611
Phone (484) 628-8408

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 8

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1528091410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST FRNT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074420",
            "telephone_number": "215-955-5000",
            "fax_number": "215-923-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST FRNT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074420",
            "telephone_number": "215-955-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Crescent Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191121016",
            "country_code": "US",
            "telephone_number": "215-503-7096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2130 Spring Garden St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191303502",
            "country_code": "US",
            "telephone_number": "215-955-9555",
            "fax_number": "215-955-0545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RENEITA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "56475",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101246202",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD432264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.