Individual provider Active NPI

Steven A Gross, MD

  • Ophthalmology Physician
  • Palm Harbor, FL
National Provider Identifier
1609894211
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME62730 Issued in FL
Practice address
32615 U.S. 19 North
Suite 6
Palm Harbor, FL 34684
Phone
(727) 772-7712
Fax
(727) 772-6891
NPI assigned
Jul 18, 2006
Last updated
Apr 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME62730 FL Primary

Addresses

Primary practice location

32615 U.S. 19 North
Suite 6
Palm Harbor, FL 34684

Mailing address

32615 U.S. 19 North
Suite 6
Palm Harbor, FL 34684
Phone (727) 772-7712

Other identifiers 2

IdentifierTypeStateIssuer
371349100MedicaidFL
18084OtherFLBLUE CROSS AND BLUE SHIEL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040412000310 FL Practitioner - Ophthalmology 9032103387 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Eye Care PA Ophthalmology CurrentSince Sep 1, 2017 Accepting new patients
Stuart J Kaufman MD & Assoc PA CurrentSince Jul 1, 2013 Accepting new patients
Pinellas Eye Care PA Ophthalmology CurrentSince Sep 1, 2017 Accepting new patients
Stuart J Kaufman MD & Assoc PA Ophthalmology CurrentSince Jul 1, 2013 Accepting new patients
Ocala Eye PA Ophthalmology Past Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients
Suncoast Medical Clinic LLC Past Accepting new patients

Locations

1814 W County Road 48
Bushnell, FL 33513
Phone (352) 568-0600

6036 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 549-2105

1515 9th Ave N
St Petersburg, FL 33705
Phone (727) 835-2020

6329 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 788-7616

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: stevena.gross@direct.mybaycare.org

Organizations & group practices 8

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1609894211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32615 U.S. 19 NORTH",
            "address_2": "SUITE 6",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-772-7712",
            "fax_number": "727-772-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32615 U.S. 19 NORTH",
            "address_2": "SUITE 6",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-772-7712",
            "fax_number": "727-772-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME62730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371349100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "18084",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.