Steven Paul Gross, M.D. – Family Medicine Physician

Key facts

NPI: 1578660908
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 84-44 (NM)
Practice address: 12000 Stone Lake Road
Dulce, NM 87528
Phone: (575) 759-7232
Fax: (575) 759-7294
NPI assigned: Sep 20, 2006
Sex: Male
Sole proprietor: Yes

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.

Jicarilla IHS Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Dulce, NM · NPI 1124220900

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
84-44	NM	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Jicarilla IHS Pharmacy		Past since Mar 5, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	84-44	NM	Yes

Addresses

Primary practice location

12000 Stone Lake Road
Dulce, NM 87528

Mailing address

PO Box 187
Dulce, NM 87528-0187
Phone (575) 759-7232

Other identifiers

Identifier	Type	State	Issuer
8HL709	Other	NM	MEDICARE PROVIDER #
HSZ196	Other	NM	MEDICARE PART B
00032607	Medicaid	NM
K3526	Medicaid	NM

Other providers in Dulce, NM

Reyna R Garcia, RN
Margaret Jean Gillean, RN
Michael W Goldberg, M.A.
Yolandra Gomez, MD
Sharon Hope Greacen, MT(ASCP)
Daniel Xethan Haire, DO
Patrick S Hogan, RPH
Diane P Holzem, RN,C
Indian Health Service- Jicarilla Service Unit
Deanna S Iovine, RN

All providers in Dulce, NM · Family Medicine Physician in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.