Individual provider Active NPI

Ross Greenstein, PA

  • Physician Assistant
  • Jackson, MI
National Provider Identifier
1598772071
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005214 Issued in MI
Practice address
1100 E Michigan Ave Ste 201
Jackson, MI 49201-1849
Phone
(517) 817-7609
NPI assigned
Aug 1, 2006
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 085002270 IL
Surgical Physician Assistant 363AS0400X 5601005214 MI
Surgical Physician Assistant 363AS0400X 10003974A IN
Physician Assistant 363A00000X 5601005214 MI Primary

Addresses

Primary practice location

1100 E Michigan Ave Ste 201
Jackson, MI 49201-1849

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

500 Arcade Ave Ste 230
Elkhart, IN 46514-2485
Phone (574) 522-6565

Other practice location 2

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-8432

Other practice location 3

10590 N Meridian St Ste 105
Carmel, IN 46290-1028
Phone (317) 583-7800

Other practice location 4

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-4021

Other practice location 5

610 N Michigan St Ste 306
South Bend, IN 46601-1079
Phone (574) 647-6500

Other practice location 6

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041206000280 IL Practitioner - Physician Assistant 2365408911 Reassigns benefits to 1 organization
I20080401000625 MI Practitioner - Physician Assistant 2365408911 Reassigns benefits to 1 organization
I20230509000352 IN Practitioner - Physician Assistant 2365408911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

10580 N Meridian St
Carmel, IN 46290-1028
Phone (317) 583-5000

10590 N Meridian St
Carmel, IN 46290-1028

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

600 E Blvd
Elkhart, IN 46514-2483

600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050

6913 N Main St
Granger, IN 46530-8039

8433 Harcourt Rd
Suite 100
Indianapolis, IN 46260-2193
Phone (317) 583-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Physician Assistant CurrentSince Jan 19, 2025 Accepting new patients
Beacon Medical Group Inc CurrentSince May 22, 2023 Accepting new patients
Beacon Medical Group, Inc. Physician Assistant CurrentSince May 22, 2023 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Nov 29, 2023 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jan 19, 2025 Accepting new patients
Wa Foote Memorial Hospital, Inc Physician Assistant Past Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients
Heartcare Midwest , LTD Surgical Past Accepting new patients

Locations

10590 N Meridian St
Ste 105
Carmel, IN 46290
Phone (317) 583-7800

500 Arcade Ave
Ste 230
Elkhart, IN 46514
Phone (574) 522-6565

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

610 N Michigan St
Ste 306
South Bend, IN 46601
Phone (574) 647-6500

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3601 W 13 Mile Rd
Royal Oak, MI 48073

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: rgreenstein1664767@epic00.shdirect.org
  • Direct secure messaging: rgreenstein453239@direct.hfhs.org

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1598772071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MICHIGAN AVE STE 201",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011849",
            "telephone_number": "517-817-7609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Arcade Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142485",
            "country_code": "US",
            "telephone_number": "574-522-6565",
            "fax_number": "574-522-5572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44201 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-8432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10590 N Meridian St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "462901028",
            "country_code": "US",
            "telephone_number": "317-583-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-4021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 N Michigan St Ste 306",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466011079",
            "country_code": "US",
            "telephone_number": "574-647-6500",
            "fax_number": "574-647-6518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011753",
            "country_code": "US",
            "telephone_number": "517-205-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENSTEIN",
        "first_name": "ROSS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085002270",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601005214",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10003974A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.