Individual provider Active NPI

Anthony Joseph Ross Jr., MD

  • Internal Medicine Physician
  • Lincoln, NE
National Provider Identifier
1538237250
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14394 Issued in NE
Practice address
2641 S 70TH St
Ste B
Lincoln, NE 68506-2912
Phone
(402) 484-7677
Fax
(402) 484-5801
NPI assigned
Dec 1, 2006
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14394 NE Primary

Addresses

Primary practice location

2641 S 70TH St
Ste B
Lincoln, NE 68506-2912

Mailing address

2641 S 70TH St
Ste B
Lincoln, NE 68506-2912
Phone (402) 484-7677

Other identifiers 1

IdentifierTypeStateIssuer
1769OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20070726000784 NE Practitioner - Internal Medicine 2860593381

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14394NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ross Internal Medicine PC Internal Medicine CurrentSince Jul 31, 2007 Accepting new patients

Locations

2641 S 70th St
Ste B
Lincoln, NE 68506
Phone (402) 484-7677

Organizations & group practices 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1538237250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 S 70TH ST",
            "address_2": "STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062912",
            "telephone_number": "402-484-7677",
            "fax_number": "402-484-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 S 70TH ST",
            "address_2": "STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062912",
            "telephone_number": "402-484-7677",
            "fax_number": "402-484-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "14394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1769",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.