Active NPI
Susan A Gross, MD
- Internal Medicine Physician
- Toledo, OH
National Provider Identifier
1578564605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35067804
- Practice address
- 3020 N McCord Rd
Suite 100
Toledo, OH 43615-1702 - Phone
- (419) 843-8160
- Fax
- (419) 841-7038
- NPI assigned
- Aug 10, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35067804 | OH | Primary |
Addresses
Primary practice location
3020 N McCord Rd
Suite 100
Toledo, OH 43615-1702
Mailing address
3020 N McCord Rd
Suite 100
Toledo, OH 43615-1702
Phone (419) 843-8160
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-03000 | Other | OH | UHC |
| 0638005 | Other | OH | AETNA |
| 29556773-003 | Other | OH | MMO |
| 000000141247 | Other | OH | ANTHEM |
| 0163433 | Medicaid | OH | |
| 11062 | Other | OH | HPM |
| 01991 | Other | OH | PARAMOUNT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141209001801 | OH | Order and Referring Only - Internal Medicine | 5294865150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Internal Medicine | Current | Accepting new patients |
Locations
650 Beaver Creek Cir
Ste 130
Maumee, OH 43537
Phone (419) 891-6210
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
3020 N McCord Rd
Ste 100
Toledo, OH 43615
Phone (419) 251-8013
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1578564605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 N MCCORD RD",
"address_2": "SUITE 100",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151702",
"telephone_number": "419-843-8160",
"fax_number": "419-841-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 N MCCORD RD",
"address_2": "SUITE 100",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151702",
"telephone_number": "419-843-8160",
"fax_number": "419-841-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "SUSAN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35067804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "04-03000",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0638005",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMO",
"identifier": "29556773-003",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000141247",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0163433",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPM",
"identifier": "11062",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "01991",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.