Organization Active NPI

Robert D. Ross, MD (Apmc)

  • Ophthalmology Physician
  • Metairie, LA
National Provider Identifier
1598766511
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10706R Issued in LA
Legal business name
ROBERT D. ROSS, MD (APMC)
Practice address
4224 Houma Blvd
Suite 430
Metairie, LA 70006-2933
Phone
(504) 888-7771
Fax
(504) 888-9388
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Robert Dick Ross, MDNPI 1932100799
Title
President
Phone
(504) 888-7771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 10706R LA Primary

Addresses

Primary practice location

4224 Houma Blvd
Suite 430
Metairie, LA 70006-2933

Mailing address

1 Holyland Dr
Metairie, LA 70006-1055
Phone (504) 888-7771

Other identifiers 3

IdentifierTypeStateIssuer
DC5264OtherRAILROAD MEDICARE
1447358MedicaidLA
09016166MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040902000684 LA Part B Supplier - Clinic/Group Practice 7911973854 Receives reassigned benefits from 3 practitioners
Practice locations: Mandeville, LA; New Orleans, LA; Metairie, LA
O20041201000289 MS Part B Supplier - Clinic/Group Practice 7911973854 Receives reassigned benefits from 2 practitioners
Practice locations: Gulfport, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2132435Robert D Ross MD, Apmc4224 Houma Blvd, Suite 430, Metairie, LA 70006Certificate of waiverJun 19, 2027

National Provider Directory

National Provider Directory

Locations

1580 W Causeway Approach
Ste 3
Mandeville, LA 70471
Phone (985) 624-5573

4224 Houma Blvd
Ste 430
Metairie, LA 70006
Phone (504) 455-7536

2221 Clearview Pkwy
Metairie, LA 70001
Phone 50488877712458

3525 Prytania St
Ste 430
New Orleans, LA 70115
Phone (504) 897-7772

15190 Community Rd
Ste 320
Gulfport, MS 39503
Phone (228) 832-7779

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7774/brand/1/csg/1/fhir/r4
  • Direct secure messaging: estern@rossdavisretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

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": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1598766511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOLYLAND DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700061055",
            "telephone_number": "504-888-7771",
            "fax_number": "504-888-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD",
            "address_2": "SUITE 430",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062933",
            "telephone_number": "504-888-7771",
            "fax_number": "504-888-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. ROSS, MD (APMC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-888-7771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "10706R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC5264",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447358",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016166",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.